Individual
GINA MARIE LIEBL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
1017 JACKSON ST STE C, GREAT BEND, KS 67530-4200
(620) 792-3666
(360) 790-3667
Mailing address
9300 E 29TH ST N STE 310, WICHITA, KS 67226-2160
(316) 612-1833
(316) 612-2420
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
78773
KS
Other
Enumeration date
06/17/2019
Last updated
09/15/2025
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