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Individual

KRISTEN M LIEBIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(636) 386-7222
(636) 200-4036
Mailing address
PO BOX 22407, SAINT LOUIS, MO 63126-0407
(636) 386-7222
(636) 200-4036

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2005023468
MO
367500000X
Certified Registered Nurse Anesthetist
2005023468
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
209028393
IL

Other

Enumeration date
04/21/2009
Last updated
04/04/2025
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