Basic Information
| Provider Information | |||||||||
| NPI: | 1730126368 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FINLEY III | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | KENT | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7108 TENACITY LN | ||||||||
| Address2: | |||||||||
| City: | JOHNSTON | ||||||||
| State: | IA | ||||||||
| PostalCode: | 501311987 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5153318903 | ||||||||
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| Practice Location | |||||||||
| Address1: | 45 ROADSIDE AVE | ||||||||
| Address2: | |||||||||
| City: | WAYNESBORO | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172682537 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177627155 | ||||||||
| FaxNumber: | 7177626929 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/01/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | MD027880E | PA | Y | Allopathic & Osteopathic Physicians | Surgery |
ID Information
| ID | Type | State | Issuer | Description | P00222742 | 01 | IA | RAILROADMEDICARE | OTHER |