Female

Kristen M. Liebl LRD

Dietary Manager in Fargo, ND(View on Map)

Full Name

Kristen M Liebl LRD

NPI Number

1164567970

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/20/2007

Specialties

(Taxonomies)

Code

132700000X

Primary Taxonomy

Yes

Licenses

State

North Dakota

License Number

674

Contact
Information

Purpose

Mailing
Location

Address

737 BROADWAY
737 BROADWAY

City

Fargo
Fargo

State

ND
ND

Postal Code

58122-0001
58122-0001

Country

US
US

Telephone Number

(701) 234-2245
(701) 234-2245

Identifiers

Identifier

51556

Identifier State

ND

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/27/2007

Provider Address

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