Healthcare Provider Details

I. General information

NPI: 1134815541
Provider Name (Legal Business Name): KATY FRANKS DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2023
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1665 S GREEN ST
TUPELO MS
38804-6556
US

IV. Provider business mailing address

1265 CLIFF GOOKIN BLVD
TUPELO MS
38801-6749
US

V. Phone/Fax

Practice location:
  • Phone: 662-377-2189
  • Fax:
Mailing address:
  • Phone: 662-840-2131
  • Fax: 662-840-2522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number33782
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: