Provider Demographics
NPI:1245634690
Name:FRANKS, KELLY (MS, ATC)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:
Last Name:FRANKS
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1045 OLIVE ST APT 9
Mailing Address - Street 2:
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446-2578
Mailing Address - Country:US
Mailing Address - Phone:818-321-9949
Mailing Address - Fax:
Practice Address - Street 1:1045 OLIVE ST APT 9
Practice Address - Street 2:
Practice Address - City:PASO ROBLES
Practice Address - State:CA
Practice Address - Zip Code:93446-2578
Practice Address - Country:US
Practice Address - Phone:818-321-9949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-14
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer