Provider Demographics
NPI:1851445258
Name:FINN, KATHERINE TIMMERMANN (MS, CM)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:TIMMERMANN
Last Name:FINN
Suffix:
Gender:F
Credentials:MS, CM
Other - Prefix:MS
Other - First Name:KATE
Other - Middle Name:T
Other - Last Name:FINN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, LM
Mailing Address - Street 1:132 INDIAN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-1331
Mailing Address - Country:US
Mailing Address - Phone:607-273-8440
Mailing Address - Fax:607-273-8440
Practice Address - Street 1:132 INDIAN CREEK RD
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-1331
Practice Address - Country:US
Practice Address - Phone:607-273-8440
Practice Address - Fax:607-273-8440
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF000793176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife