Kyle Lee Bastie in Fredericktown - Contractor
Kyle Lee Bastie - NPI 1790960482
Kyle Lee Bastie is a Contractor in Fredericktown, Missouri. Kyle Lee Bastie practices all healthcare services and medical treatments related to Contractor. The NPI Number for Kyle Lee Bastie is 1790960482. The last update date is 2008-01-01.
Kyle Lee Bastie's current location address is 1432 Madison 212, Fredericktown, Missouri. You can contact this provider via phone number 5209041079. The mailing address for Kyle Lee Bastie is 1432 Madison 212, Fredericktown, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kyle Lee Bastie |
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Address | 1432 Madison 212, Fredericktown, Missouri |
Phone Number | 5209041079 |
Fax Number | |
Sole Proprietor | N |
Credentials | CPO |
NPI Number Detail
NPI Number | 1790960482 |
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Provider Enumeration Date | 2008-01-01 |
Last Updated Date | 2008-01-01 |
Provider Mailing Address Detail
Address | 1432 Madison 212 |
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City | Fredericktown |
State | Missouri (MO) |
Post Code | 636458208 |
Phone Number | 5209041079 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Contractor |
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Taxonomy | 171W00000X |
Definition: A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or m |
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What is the unique 10-digit identifier code assigned to Kyle Lee Bastie by the Centers for Medicare & Medicaid Services?
The Kyle Lee Bastie has been issued the NPI (National Provider Identifier) 1790960482 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kyle Lee Bastie?
The Kyle Lee Bastie is situated at 1432 Madison 212, in the city of Fredericktown, state of MO, with the zip code 636458208.
What is the Kyle Lee Bastie's area of specialization and corresponding taxonomy classification?
The Kyle Lee Bastie's specialty field is Contractor, and it falls under the taxonomy code 171W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790960482 to Kyle Lee Bastie?
The Centers for Medicare & Medicaid Services originally issued the 1790960482 to Kyle Lee Bastie on 2008-01-01.
When was the information regarding Kyle Lee Bastie, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kyle Lee Bastie, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-01-01.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY