Provider Demographics
NPI:1255806881
Name:FINNIE, KOLBY (MS)
Entity type:Individual
Prefix:
First Name:KOLBY
Middle Name:
Last Name:FINNIE
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 RIDGEWAY DR STE B
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-3441
Mailing Address - Country:US
Mailing Address - Phone:504-214-9530
Mailing Address - Fax:
Practice Address - Street 1:224 SAINT LANDRY ST STE 2C
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-3578
Practice Address - Country:US
Practice Address - Phone:337-291-2815
Practice Address - Fax:337-291-2817
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-10
Last Update Date:2024-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator