Individual
KIANA LIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 NEBRASKA AVE, KANSAS CITY, KS 66102-2747
(313) 666-6666
Mailing address
PO BOX 1532, BELLEVILLE, MI 48111-8462
(913) 252-9687
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/09/2016
Last updated
08/30/2016
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