Healthcare Provider Details

I. General information

NPI: 1043226368
Provider Name (Legal Business Name): KARYN P LEIBLE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 01/19/2022
Certification Date: 01/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 E 11TH ST
LOVELAND CO
80537-5051
US

IV. Provider business mailing address

8950 E LOWRY BLVD
DENVER CO
80230-7030
US

V. Phone/Fax

Practice location:
  • Phone: 970-800-5402
  • Fax: 970-669-6076
Mailing address:
  • Phone: 303-912-7193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDR.0031801
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number264204
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberDR.0031801
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: