Provider Demographics
NPI:1447863287
Name:FINNELL, CAROLINE VOGEL (RDN)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:VOGEL
Last Name:FINNELL
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9030 W 64TH PL APT 202
Mailing Address - Street 2:
Mailing Address - City:MERRIAM
Mailing Address - State:KS
Mailing Address - Zip Code:66202-4706
Mailing Address - Country:US
Mailing Address - Phone:636-751-0641
Mailing Address - Fax:
Practice Address - Street 1:9030 W 64TH PL APT 202
Practice Address - Street 2:
Practice Address - City:MERRIAM
Practice Address - State:KS
Practice Address - Zip Code:66202-4706
Practice Address - Country:US
Practice Address - Phone:636-751-0641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-30
Last Update Date:2020-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered