Individual provider · Type 1 NPI

Kaylyn Plum Liebel

Surgical Physician Assistant · Tampa, FL

NPI number 1265982334 Active

Practice location

1 Tampa General Cir
Tampa, FL 33606-3571

Mailing address

PO Box 917770
Orlando, FL 32891-0001

Other practice locations

  • 60 E 56th St, Suite 302, New York, NY 10022-3204 · (212) 750-0071
  • 160 7th Ave S, New York, NY 10014-2727 · (727) 542-5176

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400XPA9119787 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1265982334

Kaylyn Plum Liebel's National Provider Identifier is 1265982334, issued on Oct 12, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tampa, FL. The record was last updated on Mar 23, 2026.