Provider Demographics
NPI:1720404593
Name:FRANKLIN, KAHNDRA CHAUNTAY
Entity Type:Individual
Prefix:MS
First Name:KAHNDRA
Middle Name:CHAUNTAY
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2076 CORNERSTONE DR
Mailing Address - Street 2:APT 3
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-4181
Mailing Address - Country:US
Mailing Address - Phone:859-537-4262
Mailing Address - Fax:
Practice Address - Street 1:952 WINCHESTER RD
Practice Address - Street 2:SUITE 120
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40505
Practice Address - Country:US
Practice Address - Phone:859-537-4262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-17
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2021521744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management