Healthcare Provider Details

I. General information

NPI: 1275302093
Provider Name (Legal Business Name): RICHARD KOHL FRANCIS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2023
Last Update Date: 12/20/2023
Certification Date: 12/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 NW 66TH ST
OKLAHOMA CITY OK
73116-8256
US

IV. Provider business mailing address

3208 SW 65TH PL
OKLAHOMA CITY OK
73159-2204
US

V. Phone/Fax

Practice location:
  • Phone: 405-840-1957
  • Fax:
Mailing address:
  • Phone: 405-435-8686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number3528
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: