DR. Stacy L. Kanagawa, DO

NPI #1861438475 in Nixa, Missouri

Provider Information

NPI Number: 1861438475
Entity Type: Individual
Name: DR. Stacy L. Kanagawa, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: DO
Enumeration Date: Jun 21, 2006
Last Updated: May 13, 2013

Practice Location

Address: 940 W MOUNT VERNON ST
Address 2: SUITE 220
City: Nixa
State: Missouri
ZIP Code: 65714-9609
Phone: (417) 724-5437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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