Provider Demographics
NPI:1275060659
Name:KENNETH M. FINK MD INC.
Entity Type:Organization
Organization Name:KENNETH M. FINK MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF THE CORPORATION
Authorized Official - Prefix:
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:POYNTER-FINK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-617-3120
Mailing Address - Street 1:PO BOX 2282
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25724-2282
Mailing Address - Country:US
Mailing Address - Phone:304-302-0389
Mailing Address - Fax:
Practice Address - Street 1:1112 6TH AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-2310
Practice Address - Country:US
Practice Address - Phone:304-302-0389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-17
Last Update Date:2017-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV96242084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty