Individual
CODY WHITTINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
149 ROGERS AVE, SUMMERSVILLE, MO 65571
(417) 932-4119
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019035278
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420077940
—
MO
Enumeration date
11/19/2019
Last updated
01/17/2023
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