Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLE LEE BASTIE, CPO
ActiveKYLE LEE BASTIE, CPO is a Contractor healthcare provider located in FREDERICKTOWN, Missouri. NPI 1790960482 is currently active in the NPPES registry. Verify at CMS.
Contractor · FREDERICKTOWN, MO
Registration Details
- NPI Number
- 1790960482
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 1, 2008 (18.580171033721 yrs)
- Last Updated
- Jan 1, 2008
Practice Information
- Address
-
1432 MADISON 212FREDERICKTOWN, MO, 636458208Browse MO providers · Browse ZIP 63645
- Phone
- 5209041079
- Primary Specialty
-
Contractor
171W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.