Healthcare Provider Details

I. General information

NPI: 1720371255
Provider Name (Legal Business Name): BRIDGET MARIE FRANCE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2011
Last Update Date: 10/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 HIGHLAND PIKE SUITE 1
FT WRIGHT KY
41017-8127
US

IV. Provider business mailing address

4 CAMBRIDGE DR
FT MITCHELL KY
41017-2857
US

V. Phone/Fax

Practice location:
  • Phone: 859-331-4005
  • Fax:
Mailing address:
  • Phone: 859-426-5818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number34327
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: