Provider Demographics
NPI:1245240316
Name:FRANCIS, KIP JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:KIP
Middle Name:JOSEPH
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 N WASHINGTON AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:DURANT
Mailing Address - State:OK
Mailing Address - Zip Code:74701-2100
Mailing Address - Country:US
Mailing Address - Phone:580-924-9000
Mailing Address - Fax:580-924-9010
Practice Address - Street 1:1705 N WASHINGTON AVE
Practice Address - Street 2:SUITE B
Practice Address - City:DURANT
Practice Address - State:OK
Practice Address - Zip Code:74701-2100
Practice Address - Country:US
Practice Address - Phone:580-924-9000
Practice Address - Fax:580-924-9010
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3669111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKOK700100Medicare PIN