Provider Demographics
NPI:1780256628
Name:FINEMORE, KIRSHA JO (AUD, CCC-A)
Entity type:Individual
Prefix:
First Name:KIRSHA
Middle Name:JO
Last Name:FINEMORE
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 NORTHPORT AVE STE 116
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-6096
Mailing Address - Country:US
Mailing Address - Phone:207-505-4573
Mailing Address - Fax:
Practice Address - Street 1:116 NORTHPORT AVE STE 116
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6096
Practice Address - Country:US
Practice Address - Phone:207-505-4573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAP3485231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist