Provider Demographics
NPI:1730281379
Name:FINLEY-PARKER, KATHRYN SCOTT (DDS)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:SCOTT
Last Name:FINLEY-PARKER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4807 HERMITAGE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-3335
Mailing Address - Country:US
Mailing Address - Phone:804-266-8547
Mailing Address - Fax:804-264-8103
Practice Address - Street 1:4807 HERMITAGE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-3335
Practice Address - Country:US
Practice Address - Phone:804-266-8547
Practice Address - Fax:804-264-8103
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401007106122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA9178558Medicaid