NPI 1164567970

Kristen M Liebl, LRD

Practitioner Dietary Manager Fargo, ND

Practice location

Address: 737 Broadway, Fargo, ND 58122-0001
Phone: (701) 234-2245
Fax: (701) 234-3838

Registered specialties

Dietary Manager Primary

Dietary & Nutritional Service Providers Taxonomy 132700000X Licence 674 (ND)

Other Dietary Manager providers in North Dakota →

Registry record

NPI: 1164567970
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Feb 2007
Record last updated: 27 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.