Healthcare Provider Details

I. General information

NPI: 1235549080
Provider Name (Legal Business Name): KEVIN DENNIS FINCH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2014
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 9TH AVE
SEATTLE WA
98101-2756
US

IV. Provider business mailing address

1100 9TH AVE
SEATTLE WA
98101-2756
US

V. Phone/Fax

Practice location:
  • Phone: 888-862-2737
  • Fax:
Mailing address:
  • Phone: 888-862-2737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberML60472758
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: