Provider Demographics
NPI:1841209582
Name:FINK, KATHLEEN (MD)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:
Last Name:FINK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 IRVING ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2921
Mailing Address - Country:US
Mailing Address - Phone:301-581-8078
Mailing Address - Fax:301-581-8031
Practice Address - Street 1:102 IRVING ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2921
Practice Address - Country:US
Practice Address - Phone:301-581-8078
Practice Address - Fax:301-581-8031
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD30500208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
994923OtherAETNA HMO
DCA0030500OtherBC NCA
547277-02OtherBS OF MD
114428OtherKAISER
5460-0071OtherBS NCA
255787OtherMAMSI
9051803002OtherCIGNA
5421585OtherAETNA NON-HMO
5460-0071OtherBS NCA
G69260Medicare UPIN
DC000050N76Medicare PIN