Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kody Medical PC

Organization General Practice Physician · NPI 1033482435

Kody Medical PC is a General Practice Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2012.

Licensed in
AZ
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11627 N 12th Pl
Phoenix, AZ 85020-1222
Phone: (602) 799-2133
Fax: (602) 997-1418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 23700 (AZ)

Record details

NPI number1033482435
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Mathurin — Ceo · (602) 799-2133
NPI enumeratedFebruary 15, 2012
Last updated in NPPESNovember 2, 2012
Mailing address11627 N 12th Pl, Phoenix, AZ 85020-1222

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