Provider Demographics
NPI:1689221194
Name:FINAN, KELSI BRIANA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KELSI
Middle Name:BRIANA
Last Name:FINAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 CREEKSHIRE WAY APT 301
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-3088
Mailing Address - Country:US
Mailing Address - Phone:309-229-3510
Mailing Address - Fax:
Practice Address - Street 1:1433 LEWISVILLE CLEMMONS RD
Practice Address - Street 2:
Practice Address - City:CLEMMONS
Practice Address - State:NC
Practice Address - Zip Code:27012-9713
Practice Address - Country:US
Practice Address - Phone:336-712-0663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-20
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28124183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist