Provider Demographics
NPI:1902868953
Name:FINNEY, DORA L (OD, PA)
Entity type:Individual
Prefix:DR
First Name:DORA
Middle Name:L
Last Name:FINNEY
Suffix:
Gender:F
Credentials:OD, PA
Other - Prefix:
Other - First Name:DORA
Other - Middle Name:L
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1401 W 15TH STREET
Mailing Address - Street 2:
Mailing Address - City:LIBERAL
Mailing Address - State:KS
Mailing Address - Zip Code:67901
Mailing Address - Country:US
Mailing Address - Phone:620-624-4371
Mailing Address - Fax:
Practice Address - Street 1:1401 W 15TH ST
Practice Address - Street 2:
Practice Address - City:LIBERAL
Practice Address - State:KS
Practice Address - Zip Code:67901-2275
Practice Address - Country:US
Practice Address - Phone:620-624-4371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1681152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200266670AMedicaid
KS200266670AMedicaid
KS651007Medicare ID - Type Unspecified