MEDICARE: MS. KATHLEEN ANN FRANKLIN CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	467	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427034693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHLEEN ANN FRANKLIN CNM

Provider Business Mailing Address
First Line	:	128 RIO SECO ST
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87501-1532
Country	:	US
Telephone Number	:	505-992-1953
Fax Number	:

Provider Business Practice Location Address
First Line	:	HWY 264 MPP 388.1
Second Line	:
City	:	POLACCA
State	:	AZ
Zip	:	86042
Country	:	US
Telephone Number	:	928-737-6000
Fax Number	:	928-737-6001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	07/16/2013

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