Basic Information
| Provider Information | |||||||||
| NPI: | 1073578118 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FINLEY | ||||||||
| FirstName: | THOMAS | ||||||||
| MiddleName: | KEVIN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DO | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | FINLEY | ||||||||
| OtherFirstName: | T | ||||||||
| OtherMiddleName: | KEVIN | ||||||||
| OtherNamePrefix: | DR. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | DO | ||||||||
| OtherLastNameType: | 2 | ||||||||
| Mailing Information | |||||||||
| Address1: | PO BOX 1367 | ||||||||
| Address2: | 32 RAILROAD ST | ||||||||
| City: | BETHEL | ||||||||
| State: | ME | ||||||||
| PostalCode: | 04217 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2078242193 | ||||||||
| FaxNumber: | 2078240012 | ||||||||
| Practice Location | |||||||||
| Address1: | 32 RAILROAD ST | ||||||||
| Address2: | |||||||||
| City: | BETHEL | ||||||||
| State: | ME | ||||||||
| PostalCode: | 04217 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2078242193 | ||||||||
| FaxNumber: | 2078240012 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/20/2006 | ||||||||
| LastUpdateDate: | 08/03/2017 | ||||||||
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| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | M | ||||||||
| AuthorizedOfficialLastName: | |||||||||
| AuthorizedOfficialFirstName: | |||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 1435 | ME | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 288940099 | 05 | ME | MEDICAID |