| Dr Kody Blake Finstad, MD | |
|
940 W Mount Vernon St Ste 220, Nixa, MO 65714 | |
| (417) 724-5437 | |
| (417) 724-5433 |
| Full Name | Dr Kody Blake Finstad |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 940 W Mount Vernon St Ste 220, Nixa, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932396777 | NPI | - | NPPES |
| 1932396777 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2007015054 (Missouri) | Primary |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kody Blake Finstad, MD 940 W Mount Vernon St Ste 220, Nixa, MO 65714-9613 Ph: (417) 724-5437 | Dr Kody Blake Finstad, MD 940 W Mount Vernon St Ste 220, Nixa, MO 65714 Ph: (417) 724-5437 |
Kathleen G Rice, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 S Ridgecrest Ave, Nixa, MO 65714 Phone: 417-725-5280 Fax: 417-725-8253 | |
Dr. Stacy L. Kanagawa, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 940 W Mount Vernon St, Suite 220, Nixa, MO 65714 Phone: 417-724-5437 Fax: 417-724-5433 |