Provider Demographics
NPI:1881250926
Name:SIEBERT, KALE JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:KALE
Middle Name:JOSEPH
Last Name:SIEBERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3100 KENNARD ST STE 100
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55109-5466
Mailing Address - Country:US
Mailing Address - Phone:651-225-5470
Mailing Address - Fax:651-777-6494
Practice Address - Street 1:3100 KENNARD ST STE 100
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-5466
Practice Address - Country:US
Practice Address - Phone:651-225-5470
Practice Address - Fax:651-777-6494
Is Sole Proprietor?:No
Enumeration Date:2019-05-14
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAMD-47836207Q00000X, 2084P0800X
MN779822084P0800X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry