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Kyle Bastie, CPO
NPI 1790960482 · on the registry since 2008
Practice
- Address
- 1432 Madison 212
Fredericktown, MO 63645 - Phone
- (520) 904-1079
Registry record
- Primary taxonomy
- Contractor
171W00000X
- Sex
- Male
- Record last updated
- 2008-01-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri