Kenneth Liebenau is a Clinical in Wichita, Kansas. Kenneth Liebenau practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth Liebenau is 1841293057. The last update date is 2007-08-29.
Kenneth Liebenau's current location address is 727 N Waco Ave, Wichita, Kansas. You can contact this provider via phone number 3166160260 and fax number 3166160264. The mailing address for Kenneth Liebenau is 727 N Waco Ave, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Liebenau |
|---|---|
| Address | 727 N Waco Ave, Wichita, Kansas |
| Phone Number | 3166160260 |
| Fax Number | 3166160264 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1841293057 |
|---|---|
| Provider Enumeration Date | 2005-05-23 |
| Last Updated Date | 2007-08-29 |
Provider Mailing Address Detail
| Address | 727 N Waco Ave |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 6720339720 |
| Phone Number | 3166160260 |
| Fax Number | 3166160264 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP-1019 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 119713 | KS | BLUE CROSS BLUE SHIELD | |
| 11890 | KS | PREFERRED HEALTH SYSTEMS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kenneth Liebenau by the Centers for Medicare & Medicaid Services?
The Kenneth Liebenau has been assigned the NPI (National Provider Identifier) 1841293057 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Kenneth Liebenau's physical address?
The Kenneth Liebenau is physically located at 727 N Waco Ave, in the city of Wichita, KS, with the postal code 6720339720.
What is the area of specialization for Kenneth Liebenau, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kenneth Liebenau is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1841293057 to Kenneth Liebenau?
The Centers for Medicare & Medicaid Services originally issued the 1841293057 to Kenneth Liebenau on 2005-05-23.
When was the information related to Kenneth Liebenau most recently updated or refreshed?
The details pertaining to the Kenneth Liebenau, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-29.