Provider Demographics
NPI:1659461606
Name:FINK, MARY KAY (AHCNS)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:KAY
Last Name:FINK
Suffix:
Gender:F
Credentials:AHCNS
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Mailing Address - Street 1:PO BOX 60352
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63160-0352
Mailing Address - Country:US
Mailing Address - Phone:314-362-1408
Mailing Address - Fax:314-747-1345
Practice Address - Street 1:1 BARNES JEWISH HOSPITAL PLZ
Practice Address - Street 2:DIV NEUROLOGY MULTIPLE SCLEROSIS
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1003
Practice Address - Country:US
Practice Address - Phone:314-362-1408
Practice Address - Fax:314-747-1345
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2024-04-10
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Provider Licenses
StateLicense IDTaxonomies
MO089611364SN0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SN0800XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistNeuroscience
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO420059361Medicaid