MEDICARE: MS. KIM N. FRANKLIN P.A. - C

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	363A00000X	Physician Assistant	PA449	KY

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	:	1881698744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KIM N. FRANKLIN P.A. - C

Provider Business Mailing Address
First Line	:	100 N EAGLE CREEK DR
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-1805
Country	:	US
Telephone Number	:	859-258-5102
Fax Number	:	859-258-5177

Provider Business Practice Location Address
First Line	:	100 N EAGLE CREEK DR
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-1805
Country	:	US
Telephone Number	:	859-258-5102
Fax Number	:	859-258-5177

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	07/21/2022

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