Healthcare Provider Details

I. General information

NPI: 1306750153
Provider Name (Legal Business Name): KASY FRANKS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 MERCER AVE
DECATUR IN
46733-2303
US

IV. Provider business mailing address

60 W 900 N
DECATUR IN
46733-9711
US

V. Phone/Fax

Practice location:
  • Phone: 260-724-2145
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146M00000X
TaxonomyIntermediate Emergency Medical Technician
License Number13152963
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: