Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | DR.0031801 | CO |
N | 111NI0900X | Internist | DR.0031801 | CO |
N | 207RG0300X | Geriatric Medicine | 264204 | NY |
Y | 207RG0300X | Geriatric Medicine | DR.0031801 | CO |
NPI | 1043226368 |
---|---|
Provider Name | Karyn P Leible |
First Address | Denver, CO 80230-7030 |
Second Address | Loveland, CO 80537-5051 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 19/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01318013 | (05) | CO |