Provider Demographics
NPI:1962229005
Name:MCBRIDE, KYLEE
Entity type:Individual
Prefix:
First Name:KYLEE
Middle Name:
Last Name:MCBRIDE
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 1:503 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:BERTRAND
Mailing Address - State:NE
Mailing Address - Zip Code:68927-1206
Mailing Address - Country:US
Mailing Address - Phone:308-472-3427
Mailing Address - Fax:308-472-3429
Practice Address - Street 1:503 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:BERTRAND
Practice Address - State:NE
Practice Address - Zip Code:68927-1206
Practice Address - Country:US
Practice Address - Phone:308-472-3427
Practice Address - Fax:308-472-3429
Is Sole Proprietor?:No
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider