Provider Demographics
NPI:1124513932
Name:PAUL, DAUBIN' LEE
Entity type:Individual
Prefix:
First Name:DAUBIN'
Middle Name:LEE
Last Name:PAUL
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 1:1215 MILCON ST
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67501-1244
Mailing Address - Country:US
Mailing Address - Phone:620-259-3786
Mailing Address - Fax:620-259-6148
Practice Address - Street 1:1215 MILCON ST
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67501-1244
Practice Address - Country:US
Practice Address - Phone:620-259-3786
Practice Address - Fax:620-259-6148
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-25
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)