Provider Demographics
NPI:1053478370
Name:FINN, KEVIN EUGENE (ATC)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:EUGENE
Last Name:FINN
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 255581
Mailing Address - Street 2:
Mailing Address - City:UPHAMS CORNER
Mailing Address - State:MA
Mailing Address - Zip Code:02125-5581
Mailing Address - Country:US
Mailing Address - Phone:978-837-5000
Mailing Address - Fax:978-837-5032
Practice Address - Street 1:315 TURNPIKE ST
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-5806
Practice Address - Country:US
Practice Address - Phone:978-837-5000
Practice Address - Fax:978-837-5032
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAS81849505390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program