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Individual

MICHAEL H KODY

Active
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Individual

MICHAEL H KODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD00028886
WA
207X00000X
Orthopaedic Surgery Physician
Primary
1068238
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010004256
REGENCE BLUE SHIELD OF ID
ID
05
0035776
MT
05
003783300
ID
01
0149068
DEPT OF LABOR & INDUSTRIE
WA
05
1068238
WA
01
1408
GROUP HEALTH NW
WA
01
200040944
RR MEDICARE
WA
01
379109600
OWCP
WA
01
44347
HMO BLUE
ID
01
4588KO
ASURIS NW HEALTH
WA
01
8929876
CRIME VICTIMS
WA
01
KQ506
BLUE CROSS OF IDAHO
ID
Enumeration date
03/14/2006
Last updated
11/20/2024
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