MEDICARE: DR. ORA FRANKEL M.D.

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	2084P0800X	Psychiatry Physician	31948	KY
2	2084P0804X	Child & Adolescent Psychiatry Physician	31948	KY

General Provider Information

NPI Number	:	1700072287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ORA FRANKEL M.D.

Provider Business Mailing Address
First Line	:	2327 LIME KILN LN STE A
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40222-3422
Country	:	US
Telephone Number	:	502-339-2818
Fax Number	:	502-339-2820

Provider Business Practice Location Address
First Line	:	2327 LIME KILN LN STE A
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40222-3422
Country	:	US
Telephone Number	:	502-339-2818
Fax Number	:	502-339-2820

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

Provider Enumeration Date	:	09/19/2007
Last Update Date	:	09/19/2007

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