Individual
KATHY L LIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
361 ALEXANDER SPRING RD, CARLISLE, PA 17015
(717) 249-1212
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN192374L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001921739
—
PA
Enumeration date
06/14/2006
Last updated
06/28/2017
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