Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 2018032429 | MO |
NPI | 1003201294 |
---|---|
Provider Name | Amanda Finn |
First Address | Kansas City, KS 66160-8500 |
Second Address | Kansas City, MO 64155-1829 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2015 |
Last Update Date | 27/01/2022 |