Brittany Elisabeth Axelson
Individual provider Active NPI Driver · Kennett, MO
NPI 1730726019 · NPPES record last updated Dec 5, 2019
Key facts
- NPI
- 1730726019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 925 Highway V V
Kennett, MO 63857-0071 - Phone
- (573) 888-5925
- NPI assigned
- Dec 5, 2019
- Sex
- Female
- Sole proprietor
- No
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
925 Highway V V
Kennett, MO 63857-0071
Mailing address
925 Highway V V
Kennett, MO 63857
Other providers in Kennett, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.