KODY JOHNSON

MOUNTAIN GROVE, MO
NPI1710559018
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2021021292)
Enumeration Date2021-07-15
Last Update Date2021-07-15
Business Address
KODY JOHNSON FNP
1604 C. NORTH MAIN ST
MOUNTAIN GROVE, MO 65704-6570
Phone number: 417-926-1713
Mailing Address
KODY JOHNSON FNP
PO BOX 1359
AVA, MO 65608-1359
Phone number: 417-683-5739
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