Provider Demographics
NPI:1043417280
Name:FINCH, CHERIE LYNN (PA)
Entity Type:Individual
Prefix:
First Name:CHERIE
Middle Name:LYNN
Last Name:FINCH
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:CHERIE
Other - Middle Name:LYNN
Other - Last Name:SONNEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:9449 E 21ST ST N
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-2969
Mailing Address - Country:US
Mailing Address - Phone:316-462-1070
Mailing Address - Fax:316-462-1078
Practice Address - Street 1:9449 E 21ST ST N
Practice Address - Street 2:SUITE 200
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-2969
Practice Address - Country:US
Practice Address - Phone:316-462-1070
Practice Address - Fax:316-462-1078
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS15-00368363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200592540CMedicaid
KSKA2755002Medicare PIN