Provider Demographics
NPI:1477355980
Name:KIRABO, DAVID S
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:S
Last Name:KIRABO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:JULIET
Other - Middle Name:
Other - Last Name:KIRABO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SELFLESS HOMEHEALTH
Mailing Address - Street 1:16213 GALES ST
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-2715
Mailing Address - Country:US
Mailing Address - Phone:301-367-8468
Mailing Address - Fax:
Practice Address - Street 1:16213 GALES ST
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-2715
Practice Address - Country:US
Practice Address - Phone:301-367-8468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR213202163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health