Connie Leibow is a Specialist in Kent, Washington. Connie Leibow practices all healthcare services and medical treatments related to Specialist. The NPI Number for Connie Leibow is 1972648970. The last update date is 2007-07-08.
Connie Leibow's current location address is 10811 Se Kent Kangley Rd, Kent, Washington. You can contact this provider via phone number 2538545660 and fax number 2538547025. The mailing address for Connie Leibow is 10811 Se Kent Kangley Rd, Kent, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Connie Leibow |
|---|---|
| Address | 10811 Se Kent Kangley Rd, Kent, Washington |
| Phone Number | 2538545660 |
| Fax Number | 2538547025 |
| Sole Proprietor | N |
| Credentials | PT, LO |
NPI Number Detail
| NPI Number | 1972648970 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10811 Se Kent Kangley Rd |
|---|---|
| City | Kent |
| State | Washington (WA) |
| Post Code | 980307108 |
| Phone Number | 2538545660 |
| Fax Number | 2538547025 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | PT00006945 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7018518 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Connie Leibow by the Centers for Medicare & Medicaid Services?
The Connie Leibow has been issued the NPI (National Provider Identifier) 1972648970 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Connie Leibow's physical address?
The Connie Leibow is physically located at 10811 Se Kent Kangley Rd, in the city of Kent, WA, with the postal code 980307108.
What is the Connie Leibow's area of specialization and corresponding taxonomy classification?
The Connie Leibow's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1972648970 to Connie Leibow?
The Connie Leibow received its 1972648970 assignment from the Centers for Medicare & Medicaid Services on 2007-02-20.
When was the information regarding Connie Leibow, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Connie Leibow, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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