Msema Msafiri

Individual provider Active NPI Driver · Bowling Green, KY

NPI 1548098239 · NPPES record last updated Jul 24, 2024

Key facts

NPI
1548098239
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
Practice address
579 Aries CT
Bowling Green, KY 42101-5392
Phone
(616) 965-5985
NPI assigned
Jul 24, 2024
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver
Group: 193400000X SINGLE SPECIALTY GROUP
172A00000X Yes

Addresses

Primary practice location

579 Aries CT
Bowling Green, KY 42101-5392

Mailing address

579 Aries CT
Bowling Green, KY 42101-5392
Phone (616) 965-5985

Other providers in Bowling Green, KY

All providers in Bowling Green, KY · Driver in Kentucky

Sources for this page

Verify at the official NPI Registry.