Provider Demographics
NPI:1144314014
Name:DUFRAYNE, FRANCIS J (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:J
Last Name:DUFRAYNE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 23229
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42304-3229
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1301 PLEASANT VALLEY RD STE 401
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-9774
Practice Address - Country:US
Practice Address - Phone:270-417-7800
Practice Address - Fax:270-417-7809
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD040068E174400000X
KY45530207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201102640Medicaid
PA0011753420002Medicaid
KY7100213620Medicaid
KY7100213620Medicaid
PA0011753420002Medicaid
PA486651D9BMedicare ID - Type Unspecified