Leibelsperger, Kimberly Theresa

Leibelsperger, Kimberly Theresa is an individual health care provider with primary practice located at 7785 N State St Suite 250, Lowville NY 13367-1229. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Leibelsperger, Kimberly Theresa can be contacted via phone (315) 376-5488.

Contact Information

Primary practice address
7785 N State St Suite 250 Lowville NY 13367-1229
Phone: (315) 376-5488
Fax: (315) 376-5442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 018049 New York

Profile Details

NPI number 1245632462
LBN Legal business name Leibelsperger, Kimberly Theresa
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2014
Last updated Sep 27th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245632462 NPPES
New York MEDICAID 04013778

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