Kenneth J. Franklin (NPI# 1548261720, PAC ID# 7618035700) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1548261720 |
PAC ID by PECOS | 7618035700 |
Professional Enrollment ID | I20100924001208 |
Full Name | Kenneth J. Franklin |
Organization Legal Name | FAMILY DOCTORS OF VICKSBURG, PC |
Address |
13320 N Boulevard St Vicksburg MI 49097-1514 |
Phone Number | 2696492012 |
Gender | M |
Medical School | UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES |
Graduation Year | 1981 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 9133295439 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230017 | BRONSON METHODIST HOSPITAL |
Address | Phone | Organization |
---|---|---|
13320 N Boulevard St, Vicksburg, MI 49097-1514 | 2696492012 | FAMILY DOCTORS OF VICKSBURG, PC |
Organization Legal Name | FAMILY DOCTORS OF VICKSBURG, PC |
Physicians | 1 |
Street Address |
13320 N BOULEVARD ST |
City | VICKSBURG |
State | MI |
Zip | 49097-1514 |
Name | Specialty | Organization | Address |
---|---|---|---|
Catherine I Brandau | Nurse Practitioner | Bronson Methodist Hospital | 13320 N Boulevard St, Vicksburg, MI 49097-1514 |
Evan M Fitzgerald | Family Medicine | Bronson Methodist Hospital | 13320 N Boulevard St, Vicksburg, MI 49097-1514 |
Suzanne L Hawkins | Family Practice | Bronson Methodist Hospital | 13320 N Boulevard St, Vicksburg, MI 49097-1514 |
Name | Specialty | Organization | Address |
---|---|---|---|
Maria Lyn Shoop Davenport | Optometry | 124 E Prairie St, Vicksburg, MI 49097-1257 | |
Dustin J Morton | Chiropractic | 12840 Sprinkle Rd, Suite 3, Vicksburg, MI 49097-8395 | |
Stephen Mark Hoard | Chiropractic | 1778 E Vw Ave, Vicksburg, MI 49097-9410 | |
Stephanie L Hoard | Chiropractic | 1778 E Vw Ave, Vicksburg, MI 49097-9410 |
City | VICKSBURG |
Zip Code | 49097 |
Specialty | FAMILY PRACTICE |
City + Specialty | VICKSBURG + FAMILY PRACTICE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.