Finstad, Kody Blake

Finstad, Kody Blake is an individual health care provider with primary practice located at 940 W Mount Vernon St Ste 220 , Nixa MO 65714. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Finstad, Kody Blake can be contacted via phone (417) 724-5437.

Contact Information

Primary practice address
940 W Mount Vernon St Ste 220 Nixa MO 65714
Fax: (417) 724-5433
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2007015054 Missouri

Profile Details

NPI number 1932396777
LBN Legal business name Finstad, Kody Blake
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2007
Last updated Jul 2nd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932396777 NPPES
Missouri MEDICAID 1932396777

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