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Contact Information

KIMBERLY LIEBOW, DPM
382 CANAL ST
BRATTLEBORO, VT05301-6617
 Phone: 802-254-0202
 Fax: 802-246-1300
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KIMBERLY LIEBOW · (Female)

NPI Number 1316937782
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 10/26/2005
Last updated 05/09/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • VT License # 0560000167
  • VT Medicaid OVN1397
  • NH Other 0300788Y0VT01 BC/BS NH
  • VT Other 28994 BC/BS VT
  • VT Other 81421 MVP
Hospital affiliation(s)
  • BRATTLEBORO MEMORIAL HOSPITAL - (Acute Care)
    17 BELMONT AVE
    BRATTLEBORO, VT 05301
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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