Provider Demographics
NPI:1750505988
Name:FINKLE, JOHANNA GABRIELA (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHANNA
Middle Name:GABRIELA
Last Name:FINKLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JOHANNA
Other - Middle Name:GABRIELA
Other - Last Name:GABELA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3901 RAINBOW BLVD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-8500
Mailing Address - Country:US
Mailing Address - Phone:913-588-6200
Mailing Address - Fax:913-588-6271
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-8500
Practice Address - Country:US
Practice Address - Phone:913-588-6200
Practice Address - Fax:913-588-6271
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011023170207V00000X
KS04-35205207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOA62000004Medicare UPIN