Provider Demographics
NPI:1043056542
Name:DAVID KISSINGER CONSTRUCTION LLC
Entity type:Organization
Organization Name:DAVID KISSINGER CONSTRUCTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KISSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-630-5606
Mailing Address - Street 1:915 AVON DR
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-2123
Mailing Address - Country:US
Mailing Address - Phone:740-630-5605
Mailing Address - Fax:
Practice Address - Street 1:915 AVON DR
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-2123
Practice Address - Country:US
Practice Address - Phone:740-630-5605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty