Provider Demographics
NPI:1083666770
Name:FRANCIS, MARY SHANCY (MD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:SHANCY
Last Name:FRANCIS
Suffix:
Gender:F
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:W 81 ST TERRACE
Mailing Address - Street 2:21102
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66220
Mailing Address - Country:US
Mailing Address - Phone:913-424-5687
Mailing Address - Fax:
Practice Address - Street 1:MUNSON ARMY HEALTH CENTER 550 POPE AVE
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66027
Practice Address - Country:US
Practice Address - Phone:913-684-6000
Practice Address - Fax:913-684-6525
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01060716A207Q00000X
KS0431615207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine