KASSAHUN GEBRESELASE
NPI 1346080033
Driver in Farmington, MO

Active since May 29, 2024
2629 HIGHWAY OO, FARMINGTON, MO 63640(314) 764-0269 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kassahun Gebreselase NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KASSAHUN GEBRESELASE (NPI 1346080033) is an individual driver provider in Farmington, Missouri, licensed in Missouri (W050163003) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1346080033
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameKASSAHUN GEBRESELASE
Location Address2629 HIGHWAY OOFarmington, MO 63640-7306
Mailing Address2629 Highway OoFarmington, MO 63640-7306 · (314) 764-0269
Sole ProprietorYes
Enumeration DateMay 29, 2024
NPPES CertifiedMay 29, 2024
NPI 1346080033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License Licensed in MO · W050163003
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
2629 HIGHWAY OO, Farmington, MO 63640

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Driver
2629 HIGHWAY OO
FARMINGTON, MO 63640

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kassahun Gebreselase's NPI number?

The NPI number for Kassahun Gebreselase is 1346080033. It was assigned to this individual provider in the NPPES registry on May 29, 2024.

Where is Kassahun Gebreselase located?

Kassahun Gebreselase practices at 2629 Highway Oo, Farmington, MO 63640. The listed phone number is (314) 764-0269.

What is Kassahun Gebreselase's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Kassahun Gebreselase was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.