Provider Demographics
NPI:1295026466
Name:DAVID W FRENCH MD PSC
Entity Type:Organization
Organization Name:DAVID W FRENCH MD PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:FRENCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:270-388-5454
Mailing Address - Street 1:PO BOX 595
Mailing Address - Street 2:
Mailing Address - City:EDDYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42038-0595
Mailing Address - Country:US
Mailing Address - Phone:270-388-5454
Mailing Address - Fax:270-388-5452
Practice Address - Street 1:403 W FAIRVIEW AVE
Practice Address - Street 2:
Practice Address - City:EDDYVILLE
Practice Address - State:KY
Practice Address - Zip Code:42038-8259
Practice Address - Country:US
Practice Address - Phone:270-388-5454
Practice Address - Fax:270-388-5452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-22
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000714185OtherBCBS
KY7100166330Medicaid
DR5149Medicare PIN
KYK000901Medicare PIN