Kevin Douglas Liberty, DPM
Podiatrist in Burlington, WI. Individual provider (NPI-1).
NPI number1982243432
StatusActive
Last updated in NPPESJan 19, 2026
Details
- NPI
- 1982243432
- Entity type
- Individual (NPI-1)
- Name
- Kevin Douglas Liberty
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2020
- Certification date
- Jan 19, 2026
- Last updated
- Jan 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | 1305 | WI | Yes |
| 213E00000X | Podiatrist | SC007059 | PA |
Practice location
709 Spring Valley RdBurlington, WI 53105-7614
Phone 262-767-6020
Mailing address
Po Box 735044Chicago, IL 60673-5044
Phone 800-326-2250
Other practice locations
5515 Peach St
Erie, PA 16509-2695
Erie, PA 16509-2695
Phone 814-864-4031
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