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Licensee Information

Kathleen Keller Siegel - PA-C
0010-06188
Active
No
01/13/2016
03/17/2027

Active Supervisor

NameTypeStatusApprovedInactive
Corrigan, Kevin John, DO DO Active 05/04/2022
De Pinto, Mario Joseph, MD MD Active 06/06/2025

Team Based Practice (TBP)

TBP Address
NameAddress 1Address 2CityStateZip
Atrium Health Virtual Care10620 Park RoadSuite 202CharlotteNC28210
TBP Specialty
SpecialtyType
TelemedicinePrimary

North Carolina Hospital Admitting Privileges

Location
Novant Health Matthews Medical Center
Novant Health Presbyterian Medical Center

Out of State Active/Inactive Licenses

State
Alabama
Georgia
South Carolina
Virginia

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 9/22/2026 3:43:32 PM
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