Individual
DEBRA KIM LIETZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
201 NW R D MIZE RD STE 206, BLUE SPRINGS, MO 64014-2513
(816) 655-5403
(816) 655-5257
Mailing address
4900 N 126TH ST, KANSAS CITY, KS 66109-5121
(816) 509-2052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021007033
MO
363LF0000X
Family Nurse Practitioner
53-79707-031
KS
Other
Enumeration date
10/19/2020
Last updated
11/17/2025
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