Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | R1106 | KY |
NPI | 1013050368 |
---|---|
Provider Name | Dr. Franklin W Fannin |
First Address | Ashland, KY 41105-1595 |
Second Address | Ashland, KY 41101-7848 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2007 |
Last Update Date | 04/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3008739 | (05) | OH |
3810016650 | (05) | WV |
7100086410 | (05) | KY |