Healthcare Provider Details

I. General information

NPI: 1972093359
Provider Name (Legal Business Name): JULIE FINN SOLE PROPRIETOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2018
Last Update Date: 05/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1407 ALEXANDRIA PIKE
FORT THOMAS KY
41075-2599
US

IV. Provider business mailing address

1407 ALEXANDRIA PIKE
FORT THOMAS KY
41075-2599
US

V. Phone/Fax

Practice location:
  • Phone: 513-907-9007
  • Fax: 859-441-1462
Mailing address:
  • Phone: 513-907-9007
  • Fax: 859-441-1462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number500298
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: