Provider Demographics
NPI:1215218474
Name:FRANCIS, GARY NICHOLAS (DO)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:NICHOLAS
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 406
Mailing Address - Street 2:
Mailing Address - City:PRESTONSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41653-0406
Mailing Address - Country:US
Mailing Address - Phone:606-889-3650
Mailing Address - Fax:606-263-5640
Practice Address - Street 1:5000 KY ROUTE 321
Practice Address - Street 2:SUITE 3102B
Practice Address - City:PRESTONSBURG
Practice Address - State:KY
Practice Address - Zip Code:41653-9113
Practice Address - Country:US
Practice Address - Phone:606-889-3650
Practice Address - Fax:606-263-5640
Is Sole Proprietor?:No
Enumeration Date:2011-09-01
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WVED0225A207R00000X
KY03656207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine