Healthcare Provider Details

I. General information

NPI: 1346423621
Provider Name (Legal Business Name): MR. KEVIN PATRICK FINNEY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2007
Last Update Date: 09/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1235 MISSION ST FL 2
SAN FRANCISCO CA
94103-2705
US

IV. Provider business mailing address

3626 BALBOA ST
SAN FRANCISCO CA
94121-2604
US

V. Phone/Fax

Practice location:
  • Phone: 415-558-1320
  • Fax: 415-558-4705
Mailing address:
  • Phone: 415-668-5955
  • Fax: 415-668-0246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: