Provider Demographics
NPI:1215826870
Name:KAHLBAUGH, DAVID
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:KAHLBAUGH
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 1:2302 MURANO DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-1842
Mailing Address - Country:US
Mailing Address - Phone:813-417-5811
Mailing Address - Fax:
Practice Address - Street 1:2302 MURANO DR
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-1842
Practice Address - Country:US
Practice Address - Phone:813-417-5811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner