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Kyle Bastie, CPO — NPI 1790960482, Fredericktown, MO | NPI Central

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NPI 1790960482

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Kyle Bastie, CPO

NPI 1790960482 · Contractor · Fredericktown, MO

Provider details

NPI number: 1790960482
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Credential: CPO
Sex: Male
Sole proprietor: No

Specialties & taxonomies

ContractorPrimary171W00000X
Other Service Providers

Practice location

1432 Madison 212

Fredericktown, MO 63645-8208

Phone: (520) 904-1079

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

1432 Madison 212

Fredericktown, MO 63645-8208

Registry dates

Enumerated: 2008-01-01
Last updated: 2008-01-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.