Individual provider · Type 1 NPI

Kassahun Gebreselase

Driver · Farmington, MO

NPI number 1346080033 Active

Practice location

2629 Highway Oo
Farmington, MO 63640-7306

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XW050163003 (MO)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1346080033

Kassahun Gebreselase's National Provider Identifier is 1346080033, issued on May 29, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Farmington, MO. The record was last updated on May 29, 2024.