Provider Demographics
NPI:1265965180
Name:FINCHER, KERRY NOEL (DO, CAQSM)
Entity type:Individual
Prefix:MS
First Name:KERRY
Middle Name:NOEL
Last Name:FINCHER
Suffix:
Gender:F
Credentials:DO, CAQSM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 CHESTNUT ST UPPR LEVEL
Mailing Address - Street 2:
Mailing Address - City:BREVARD
Mailing Address - State:NC
Mailing Address - Zip Code:28712-3897
Mailing Address - Country:US
Mailing Address - Phone:828-694-7676
Mailing Address - Fax:
Practice Address - Street 1:316 CHESTNUT ST UPPR LEVEL
Practice Address - Street 2:
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-3897
Practice Address - Country:US
Practice Address - Phone:828-694-7676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL40734207Q00000X
SC390200000X
NC2020-04203207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2020-04203OtherNORTH CAROLINA MEDICAL BOARD