Kim Liebert, PA

NPI #1225453202

Provider Information

NPI Number: 1225453202
Entity Type: Individual
Name: Kim Liebert, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant - Medical
Credential: PA
Enumeration Date: Feb 27, 2014
Last Updated: Oct 26, 2023

Practice Location

Address: MEDDAC-BAVARIA CMR 411
Address 2: CMR 411
City: Apo
State: AE
ZIP Code: 09112
Phone: (314) 590-2491

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X	Primary

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