Individual
KEVIN MICHAEL LIEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
924 N COLUMBIA CENTER BLVD STE 210, KENNEWICK, WA 99336
(509) 572-2444
(509) 572-2124
Mailing address
924 N COLUMBIA CENTER BLVD STE 210, KENNEWICK, WA 99336-7626
(509) 572-2444
(509) 572-2124
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD60098277
WA
237600000X
Audiologist-Hearing Aid Fitter
LD60098277
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2105616
—
WA
Enumeration date
09/04/2008
Last updated
03/25/2019
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