Healthcare Provider Details

I. General information

NPI: 1568742237
Provider Name (Legal Business Name): KIMBERLY FINLEY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2011
Last Update Date: 10/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 HOSPITAL RD
CANTON GA
30114-2432
US

IV. Provider business mailing address

320 HOSPITAL ROAD
CANTON GA
30114-4970
US

V. Phone/Fax

Practice location:
  • Phone: 770-479-5535
  • Fax:
Mailing address:
  • Phone: 770-479-5535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS46492
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberRPH027092
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: