Healthcare Provider Details

I. General information

NPI: 1871583831
Provider Name (Legal Business Name): MARK E FRANKLIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2005
Last Update Date: 12/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2091 N BEND RD
HEBRON KY
41048-9691
US

IV. Provider business mailing address

PO BOX 635283
CINCINNATI OH
45263-5283
US

V. Phone/Fax

Practice location:
  • Phone: 859-586-2200
  • Fax: 859-586-4222
Mailing address:
  • Phone: 859-344-5555
  • Fax: 859-344-5552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number02056
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: