Liefer, Kathy
Liefer, Kathy is an individual health care provider with primary practice located at 3 Saint Elizabeth Blvd , O Fallon IL 62269-1099. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Liefer, Kathy can be contacted via phone (618) 641-5803.Contact Information
Primary practice address
3 Saint Elizabeth Blvd
O Fallon IL 62269-1099
Phone: (618) 641-5803
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209015891 | Illinois |
Profile Details
| NPI number | 1013439777 |
|---|---|
| LBN Legal business name | Liefer, Kathy |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2017 |
| Last updated | Jun 16th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013439777 | NPPES |
| Illinois | Other | 209015891 | APN LICENSE |
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