Individual
DR. KENNETH W LIECHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 N WILMOT RD STE 101, TUCSON, AZ 85711-2683
(520) 694-5437
(520) 874-7070
Mailing address
535 N WILMOT RD STE 101, TUCSON, AZ 85711-2683
(520) 694-5437
(520) 874-7070
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD0598906
PA
2086S0120X
Pediatric Surgery Physician
20817
MS
2086S0120X
Pediatric Surgery Physician
Primary
66494
AZ
2086S0120X
Pediatric Surgery Physician
DR.0054069
CO
Other
Enumeration date
10/11/2006
Last updated
01/08/2025
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