Provider Demographics
NPI:1699706457
Name:FINNEY, LONNIE P JR (DC)
Entity type:Individual
Prefix:DR
First Name:LONNIE
Middle Name:P
Last Name:FINNEY
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 994
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:KS
Mailing Address - Zip Code:67156-0994
Mailing Address - Country:US
Mailing Address - Phone:623-377-5645
Mailing Address - Fax:
Practice Address - Street 1:1014 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:KS
Practice Address - Zip Code:67156-8900
Practice Address - Country:US
Practice Address - Phone:620-221-3630
Practice Address - Fax:620-221-3630
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS10-05040111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ152817Medicare PIN