Individual
KIMBERLY LEIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, NRP
Contact information
Practice address
1302 N WASHINGTON AVE, MADISON, SD 57042-5704
(605) 481-5000
Mailing address
PO BOX 174, MADISON, SD 57042-0174
(605) 481-5000
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
1558
SD
2255A2300X
Athletic Trainer
Primary
0361
SD
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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