MEDICARE: KAGRAN FRANCO

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	235Z00000X	Speech-Language Pathologist	SLP9849	AZ

General Provider Information

NPI Number	:	1336741487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAGRAN FRANCO

Provider Business Mailing Address
First Line	:	10347 N MINERAL SPRING LN
Second Line	:
City	:	ORO VALLEY
State	:	AZ
Zip	:	85737-6959
Country	:	US
Telephone Number	:	520-245-5909
Fax Number	:

Provider Business Practice Location Address
First Line	:	10347 N MINERAL SPRING LN
Second Line	:
City	:	ORO VALLEY
State	:	AZ
Zip	:	85737-6959
Country	:	US
Telephone Number	:	520-245-5909
Fax Number	:

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

Provider Enumeration Date	:	11/13/2020
Last Update Date	:	11/13/2020

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Directions to “ KAGRAN FRANCO ” Practice Location

Language	Start Address	Practice Location

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