Provider Demographics
NPI:1821718263
Name:GANG, FRANKLIN KWEYELLA
Entity Type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:KWEYELLA
Last Name:GANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10501 WESTOVER AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73162-5628
Mailing Address - Country:US
Mailing Address - Phone:405-905-2478
Mailing Address - Fax:
Practice Address - Street 1:10501 WESTOVER AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73162-5628
Practice Address - Country:US
Practice Address - Phone:405-905-2478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator