Individual
MICHAEL H KODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 W 5TH AVE STE 400, SPOKANE, WA 99204-2715
(509) 344-2663
(509) 624-9179
Mailing address
601 W 5TH AVE, SUITE 400, SPOKANE, WA 99204-2715
(509) 344-2663
(509) 624-9179
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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