Provider Demographics
NPI:1891528949
Name:KILBURN, STARLA
Entity type:Individual
Prefix:
First Name:STARLA
Middle Name:
Last Name:KILBURN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 DAVE AVE APT 213
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-2768
Mailing Address - Country:US
Mailing Address - Phone:865-309-0695
Mailing Address - Fax:
Practice Address - Street 1:114 DAVE AVE APT 213
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-2768
Practice Address - Country:US
Practice Address - Phone:865-309-0695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-23
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty