KYLE BASTIE, CPO

Contractor

Active Individual
NPI: 1790960482

Practice Address

1432 MADISON 212
Fredericktown, MO 63645

Phone: (520) 904-1079

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1790960482 is the National Provider Identifier for KYLE BASTIE, CPO, a Contractor provider located in Fredericktown, MO. This NPI was enumerated on January 1, 2008.
KYLE BASTIE, CPO practices at 1432 MADISON 212, Fredericktown, MO 63645.

Quick Facts

NPI
1790960482
Type
Individual
Enumerated
Jan 1, 2008
Last Updated
Jan 1, 2008

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