Kyle Lee Bastie, CPO
Kyle Lee Bastie, CPO is a Contractor in Fredericktown, Missouri. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
1432 Madison 212Fredericktown, MO 63645-8208
Phone: (520) 904-1079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X |
|---|
Record details
| NPI number | 1790960482 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CPO |
| Sole proprietor | No |
| NPI enumerated | January 1, 2008 |
| Last updated in NPPES | January 1, 2008 |