Healthcare Provider Details

I. General information

NPI: 1932751021
Provider Name (Legal Business Name): ANDREW FRANCIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2019
Last Update Date: 07/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26901 US HIGHWAY 119 N
BELFRY KY
41514-7520
US

IV. Provider business mailing address

260 HOSPITAL DR
SOUTH WILLIAMSON KY
41503-4072
US

V. Phone/Fax

Practice location:
  • Phone: 606-237-1461
  • Fax:
Mailing address:
  • Phone: 606-237-1461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberA03920
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: