Provider Demographics
NPI:1699286278
Name:KILBURN, COLBI
Entity type:Individual
Prefix:
First Name:COLBI
Middle Name:
Last Name:KILBURN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2025 RHODE ISLAND ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66046-2963
Mailing Address - Country:US
Mailing Address - Phone:785-218-1212
Mailing Address - Fax:
Practice Address - Street 1:2025 RHODE ISLAND ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66046-2963
Practice Address - Country:US
Practice Address - Phone:785-218-1212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-23
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst