Provider Demographics
NPI:1063891505
Name:FINLAY, KYLEEN (LPN)
Entity type:Individual
Prefix:
First Name:KYLEEN
Middle Name:
Last Name:FINLAY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4974 TUMNEY TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:OH
Mailing Address - Zip Code:44857-8934
Mailing Address - Country:US
Mailing Address - Phone:419-271-5566
Mailing Address - Fax:
Practice Address - Street 1:4974 TUMNEY TRAIL DR
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:OH
Practice Address - Zip Code:44857-8934
Practice Address - Country:US
Practice Address - Phone:419-271-5566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-28
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN117442164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse