Individual
KIRSTIE LIEBENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3497 WAGON WHEEL RD, SPRINGDALE, AR 72762-0115
(877) 295-2554
Mailing address
3497 WAGON WHEEL RD, SPRINGDALE, AR 72762-0115
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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