MEDICARE: KATHLEEN FINCHER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1800X	Optician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184891939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN FINCHER

Provider Business Mailing Address
First Line	:	834 S PERRY ST STE E
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80104-1941
Country	:	US
Telephone Number	:	303-688-0707
Fax Number	:

Provider Business Practice Location Address
First Line	:	834 S PERRY ST STE E
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80104-1941
Country	:	US
Telephone Number	:	303-688-0707
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2008
Last Update Date	:	05/12/2008

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Directions to “ KATHLEEN FINCHER ” Practice Location

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