Individual
MRS. KELLY E. LIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1401 W 5TH ST, SHERIDAN, WY 82801-2705
(307) 672-1073
(307) 675-2602
Mailing address
1401 W 5TH ST, SHERIDAN, WY 82801-2705
(307) 672-1073
(307) 675-2602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
500
WY
Other
Enumeration date
10/28/2008
Last updated
10/17/2025
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