Healthcare Provider Details

I. General information

NPI: 1821108200
Provider Name (Legal Business Name): SEAN L. FRANCIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 08/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 E CHESTNUT ST SUITE 410
LOUISVILLE KY
40202-5700
US

IV. Provider business mailing address

550 S JACKSON ST ACB/2ND FL
LOUISVILLE KY
40202-1622
US

V. Phone/Fax

Practice location:
  • Phone: 502-271-5999
  • Fax: 502-271-5994
Mailing address:
  • Phone: 502-561-8850
  • Fax: 502-561-8851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number043048
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number45249
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number45249
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: