Individual
KIMBERLY DAWN LIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 W WASHBOURNE ST, JAY, OK 74346-4205
(918) 273-1841
Mailing address
29890 S 660 RD, GROVE, OK 74344-5925
(918) 314-4830
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/04/2021
Last updated
03/04/2026
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