Provider Demographics
NPI:1194003095
Name:FINLAY, MARTHA KELLEY (RD)
Entity Type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:KELLEY
Last Name:FINLAY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 BOWDOIN RD
Mailing Address - Street 2:
Mailing Address - City:IPSWICH
Mailing Address - State:MA
Mailing Address - Zip Code:01938-2807
Mailing Address - Country:US
Mailing Address - Phone:978-356-0689
Mailing Address - Fax:
Practice Address - Street 1:5 FOX RUN RD
Practice Address - Street 2:
Practice Address - City:IPSWICH
Practice Address - State:MA
Practice Address - Zip Code:01938-1167
Practice Address - Country:US
Practice Address - Phone:978-356-0689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-26
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3148133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered