Provider Demographics
NPI:1962487793
Name:FINLAY-TOZZI, KIM A (DO)
Entity Type:Individual
Prefix:DR
First Name:KIM
Middle Name:A
Last Name:FINLAY-TOZZI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709C WICKER ST
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-4142
Mailing Address - Country:US
Mailing Address - Phone:919-777-2704
Mailing Address - Fax:919-777-2752
Practice Address - Street 1:709C WICKER ST
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-4142
Practice Address - Country:US
Practice Address - Phone:919-777-2704
Practice Address - Fax:919-777-2752
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9900041207R00000X
NC98017872080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1186ROtherBCBS
NC201085513OtherHMO/PPO/COMMERCIAL
NC891186RMedicaid
NC20-1085513OtherFEDERAL BCBS
NC2400815BMedicare ID - Type Unspecified
NC891186RMedicaid