Provider Demographics
NPI:1932693637
Name:KILBRIDE, DAVID
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:KILBRIDE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7412 STATE ROUTE 113 E
Mailing Address - Street 2:
Mailing Address - City:BERLIN HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44814-9435
Mailing Address - Country:US
Mailing Address - Phone:216-702-4242
Mailing Address - Fax:
Practice Address - Street 1:7412 STATE ROUTE 113 E
Practice Address - Street 2:
Practice Address - City:BERLIN HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44814-9435
Practice Address - Country:US
Practice Address - Phone:216-702-4242
Practice Address - Fax:419-588-2789
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-18
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)