Provider Demographics
NPI:1225463599
Name:SIGLE, KELLY JO (DVM, DIPLOMATE ACVO)
Entity Type:Individual
Prefix:MS
First Name:KELLY
Middle Name:JO
Last Name:SIGLE
Suffix:
Gender:F
Credentials:DVM, DIPLOMATE ACVO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 NICHOLAS ROAD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27409
Mailing Address - Country:US
Mailing Address - Phone:336-632-0605
Mailing Address - Fax:336-632-0703
Practice Address - Street 1:501 NICHOLAS RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27409-2926
Practice Address - Country:US
Practice Address - Phone:335-632-0605
Practice Address - Fax:336-632-0703
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5208174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian