MEDICARE: JULIE FINN SOLE PROPRIETOR

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	372600000X	Adult Companion	500298	KY

General Provider Information

NPI Number	:	1972093359
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE FINN SOLE PROPRIETOR

Provider Business Mailing Address
First Line	:	1407 ALEXANDRIA PIKE
Second Line	:
City	:	FORT THOMAS
State	:	KY
Zip	:	41075-2599
Country	:	US
Telephone Number	:	513-907-9007
Fax Number	:	859-441-1462

Provider Business Practice Location Address
First Line	:	1407 ALEXANDRIA PIKE
Second Line	:
City	:	FORT THOMAS
State	:	KY
Zip	:	41075-2599
Country	:	US
Telephone Number	:	513-907-9007
Fax Number	:	859-441-1462

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

Provider Enumeration Date	:	05/11/2018
Last Update Date	:	05/11/2018

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