Individual
KIMBERLY A LIEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3311
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3311
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036.178658
IL
208600000X
Surgery Physician
213668
MA
2086X0206X
Surgical Oncology Physician
MD17356
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0178039
—
MA
01
—
J24820
BCBS
—
Enumeration date
08/21/2006
Last updated
06/26/2026
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