Individual
KAREN D LIBSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
229 S 8TH ST, ST MARIES, ID 83861-1813
(208) 245-2591
(208) 245-5246
Mailing address
229 S 8TH ST, ST MARIES, ID 83861-1813
(208) 245-2591
(208) 245-5246
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
41146
CO
207Q00000X
Family Medicine Physician
Primary
M-10876
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114996428
PREMERA BLUE CROSS
WA
05
—
40984524
—
CO
01
—
78176
BLUE CROSS OF IDAHO
ID
05
—
808521300
—
ID
Enumeration date
03/17/2006
Last updated
01/12/2010
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