Provider Demographics
NPI:1578588018
Name:FRANCIS, KURT F (MD)
Entity Type:Individual
Prefix:
First Name:KURT
Middle Name:F
Last Name:FRANCIS
Suffix:
Gender:M
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:PO BOX 741729
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-1729
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1160 E 3900 S
Practice Address - Street 2:STE 2000
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84124-1202
Practice Address - Country:US
Practice Address - Phone:801-266-3418
Practice Address - Fax:801-266-4174
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT177502-1205207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
107006517101OtherSELECTCARE
PR07069OtherMOLINA
QM0000018072OtherALTIUS
870450466AOtherFIRST HEALTH
45933OtherPEHP
941OtherUNIV OF UTAH
290009142OtherRAILROAD MEDICARE
16387OtherDMBA
870450466FR1OtherEMIA
QM0000018072OtherALTIUS
870450466FR1OtherEMIA