Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 11332954-1205 | UT |
N | 207X00000X | Orthopaedic Surgeon | R73925 | AZ |
NPI | 1023454683 |
---|---|
Provider Name | Kimberly Franke |
First Address | Moab, UT 84532-2185 |
Second Address | Moab, UT 84532-2185 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2013 |
Last Update Date | 23/09/2020 |