Provider Demographics
NPI:1083030985
Name:FINCH, KILEY LOUISE (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:KILEY
Middle Name:LOUISE
Last Name:FINCH
Suffix:
Gender:X
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2515 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-3220
Mailing Address - Country:US
Mailing Address - Phone:707-268-3510
Mailing Address - Fax:707-268-3515
Practice Address - Street 1:2515 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-3220
Practice Address - Country:US
Practice Address - Phone:707-268-3510
Practice Address - Fax:707-268-3515
Is Sole Proprietor?:No
Enumeration Date:2014-03-16
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA69667183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist