Liefer, Kathy

Liefer, Kathy is an individual health care provider with primary practice located at 4600 Memorial Dr Ste 120 , Belleville IL 62226-5359. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Liefer, Kathy can be contacted via phone (618) 222-1020.

Contact Information

Primary practice address
4600 Memorial Dr Ste 120 Belleville IL 62226-5359
Phone: (618) 222-1020
Fax: (618) 222-1039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209015891 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209015891 Illinois

Profile Details

NPI number 1013439777
LBN Legal business name Liefer, Kathy
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2017
Last updated Dec 24th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013439777 NPPES
Illinois Other 209015891 APN LICENSE

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