Provider Demographics
NPI:1790746022
Name:FRANK, KENNETH J (MD)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:J
Last Name:FRANK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1401 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:KS
Mailing Address - Zip Code:66067-3528
Mailing Address - Country:US
Mailing Address - Phone:785-242-4242
Mailing Address - Fax:785-242-7885
Practice Address - Street 1:1401 S MAIN ST
Practice Address - Street 2:
Practice Address - City:OTTAWA
Practice Address - State:KS
Practice Address - Zip Code:66067-3528
Practice Address - Country:US
Practice Address - Phone:785-242-4242
Practice Address - Fax:785-242-7885
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04-24676207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
12117OtherPRINCIPAL HEALTHCARE
KS100190740AMedicaid
461389OtherCHILDREN'S MERCY
5223189OtherAETNA
8462817OtherCIGNA
08-00304OtherUNITED HEALTHCARE
KS103707OtherBCBS-KS
180025742OtherRAILROAD MEDICARE
23744022OtherBCBS-KANSAS CITY
25133OtherCOVENTRY
5246666OtherCCN
461389OtherCHILDREN'S MERCY