Provider Demographics
NPI:1740223726
Name:FRANCIS, LARRY B (MD)
Entity Type:Individual
Prefix:MR
First Name:LARRY
Middle Name:B
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 1:277 ROY CAMPBELL DR
Mailing Address - Street 2:
Mailing Address - City:HAZARD
Mailing Address - State:KY
Mailing Address - Zip Code:41701-9485
Mailing Address - Country:US
Mailing Address - Phone:606-435-1708
Mailing Address - Fax:606-435-2445
Practice Address - Street 1:277 ROY CAMPBELL DR
Practice Address - Street 2:
Practice Address - City:HAZARD
Practice Address - State:KY
Practice Address - Zip Code:41701-9485
Practice Address - Country:US
Practice Address - Phone:606-435-1708
Practice Address - Fax:606-435-2445
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY35737207R00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64022809Medicaid
KY000000201942OtherBLUECROSS PIN
KY000000388437OtherBLUECROSS PIN
KYH19632Medicare UPIN
KY0535521Medicare ID - Type Unspecified
KY64022809Medicaid