IndividualActive
Kassahun Gebreselase
NPI 1346080033 · Driver · Farmington, MO
Provider details
- NPI number
- 1346080033
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- W050163003 (MO)
Specialties & taxonomies
Other Service Providers
Practice location
2629 Highway Oo
Farmington, MO 63640-7306
Phone: (314) 764-0269
Approximate (ZIP-level) locationGet directions
Mailing address
2629 Highway Oo
Farmington, MO 63640-7306
Registry dates
- Enumerated
- 2024-05-29
- Last updated
- 2024-05-29
- Certified
- 2024-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.