Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Marie Liebergen

Individual provider Speech-Language Pathologist · NPI 1063062271

Kelly Marie Liebergen is a Speech-Language Pathologist in Greenfield, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2019

Practice location Address checks out

9000 W Sura Ln
Greenfield, WI 53228-3477
Phone: (414) 246-6800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1650 S 41st St, Manitowoc, WI 54220-7316 — (920) 320-3100

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence L162-5009-3930-07 (WI)

Record details

NPI number1063062271
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 19, 2019
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025

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