Provider Demographics
NPI:1053633701
Name:FINCH, KEVIN F (R PH)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:F
Last Name:FINCH
Suffix:
Gender:M
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3489 STATE ROUTE 79
Mailing Address - Street 2:
Mailing Address - City:BURDETT
Mailing Address - State:NY
Mailing Address - Zip Code:14818-9693
Mailing Address - Country:US
Mailing Address - Phone:607-546-7792
Mailing Address - Fax:
Practice Address - Street 1:135 FAIRGROUNDS MEMORIAL PKWY
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-5362
Practice Address - Country:US
Practice Address - Phone:607-277-8126
Practice Address - Fax:607-277-8613
Is Sole Proprietor?:No
Enumeration Date:2010-02-23
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0376851835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist