Provider Demographics
NPI:1003520818
Name:FINLEY, KAVON M
Entity Type:Individual
Prefix:
First Name:KAVON
Middle Name:M
Last Name:FINLEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:799 ALBANY ST APT 207
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12307-1335
Mailing Address - Country:US
Mailing Address - Phone:917-349-0675
Mailing Address - Fax:
Practice Address - Street 1:799 ALBANY ST APT 207
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12307-1335
Practice Address - Country:US
Practice Address - Phone:917-349-0675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY437070561343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)