Healthcare Provider Details

I. General information

NPI: 1265965180
Provider Name (Legal Business Name): KERRY NOEL FINCHER D.O., CAQSM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2017
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 CHESTNUT ST UPPR LEVEL
BREVARD NC
28712-3897
US

IV. Provider business mailing address

316 CHESTNUT ST UPPR LEVEL
BREVARD NC
28712-3897
US

V. Phone/Fax

Practice location:
  • Phone: 828-694-7676
  • Fax:
Mailing address:
  • Phone: 828-694-7676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberLL40734
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number2020-04203
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: