Provider Demographics
NPI:1841471711
Name:EAST, PAUL DAVID (RRT)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:DAVID
Last Name:EAST
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 1/2 DANVILLE ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:KY
Mailing Address - Zip Code:40444-1031
Mailing Address - Country:US
Mailing Address - Phone:859-227-4752
Mailing Address - Fax:
Practice Address - Street 1:318 1/2 DANVILLE ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:KY
Practice Address - Zip Code:40444-1031
Practice Address - Country:US
Practice Address - Phone:859-227-4752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0058227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered