Dr. Stacy L. Kanagawa
DO | Pediatrics | Female
Dr. Stacy L. Kanagawa, DO is a Nixa, Missouri based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Stacy L. Kanagawa is
940 W Mount Vernon St, Suite 220, Nixa, Missouri - 65714-9609. She can be contacted on phone at
417-724-5437 and fax number 417-724-5433.
Dr. Stacy L. Kanagawa is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Stacy L. Kanagawa is
1861438475 which was assigned by NPPES on 21 Jun, 2006 and it was last updated on 13 May, 2013.
Dr. Stacy L. Kanagawa license number is
2002009355 for Pediatrics (208000000X) in Missouri.
Dr. Stacy L. Kanagawa is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Stacy L. Kanagawa basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Stacy L. Kanagawa |
|---|
| Credential : | DO |
|---|
| Gender : | Female |
|---|
Business Address:
Dr. Stacy L. Kanagawa address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 940 W Mount Vernon St, Suite 220
Nixa, MO, 65714-9609
United States |
|---|
| Phone Number : | 417-724-5437 |
|---|
| Fax Number : | 417-724-5433 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1861438475 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 21 Jun, 2006 |
|---|
| Last Updated On : | 13 May, 2013 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Stacy L. Kanagawa are as mentioned. Primary taxonomy code for Dr. Stacy L. Kanagawa, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 2002009355 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Stacy L. Kanagawa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 168192003 | MEDICAID | AR | |
| 208341206 | MEDICAID | MO | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 2580
Springfield, MO, 65801-2580
United States |
|---|
| Phone Number : | 417-829-4620 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Stacy L. Kanagawa practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.