Kevin Douglas Liberty is a Burlington, Wisconsin based male podiatrist who is specialized in Podiatry. Active license number of Kevin Douglas Liberty for Podiatry is 1305 in Wisconsin. Kevin Douglas Liberty is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Kevin Douglas Liberty speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Gender:
Male
Practice Address:
709 Spring Valley Rd, Burlington, Wisconsin, 53105-7614
Phone:
262-767-6020
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1982243432
NPI Enumeration Date:
02 Jan, 2020
NPI Last Update On:
21 Feb, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kevin Douglas Liberty are as mentioned below.
License Number
Specialization
State
Status
1305
Podiatry
Wisconsin
Primary
SC007059
Podiatry
Pennsylvania
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Kevin Douglas Liberty such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100224481
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3301 W Forest Home Ave, Milwaukee, Wisconsin
Zip:
53215-2843
Phone Number:
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Fax Number:
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Patients can reach Kevin Douglas Liberty at 709 Spring Valley Rd, Burlington, Wisconsin or can call to book an appointment on 262-767-6020. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.