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
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | W050163003 (MO) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
Other driver providers in Farmington
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.