Individual
KEVIN DOUGLAS LIBERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
709 SPRING VALLEY RD, BURLINGTON, WI 53105-7614
(262) 767-6020
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1305
WI
213E00000X
Podiatrist
SC007059
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100224481
—
WI
Enumeration date
01/02/2020
Last updated
01/19/2026
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