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Contact Information

MINA K MASSEY, MD
26136 US HIGHWAY 59
FAIRFAX, MO64446-9105
 Phone: 660-686-2211
 Fax: 660-686-2618
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MINA K MASSEY · (Female)

NPI Number 1578557872
Status Active
Credentials MD
Entity Individual
Enumeration date 09/01/2005
Last updated 10/25/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MO License # 2001022332
  • MO Medicaid 205402027
  • Other 16418 COX HEALTH
  • MO Other 171942 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • PEMISCOT MEMORIAL HOSPITAL - (Acute Care)
    946 EAST REED
    HAYTI, MO 63851
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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