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Contact Information

KRISTEN M LIEBL, LRD
737 BROADWAY
FARGO, ND58122-0001
 Phone: 701-234-2245
 Fax: 701-234-3838
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietary Manager

132700000X
Indicates primary specialty

NPI Profile & details for KRISTEN M LIEBL · (Female)

NPI Number 1164567970
Status Active
Credentials LRD
Entity Individual
Enumeration date 02/20/2007
Last updated 12/27/2007 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • ND License # 674
  • ND Medicaid 51556
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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