Provider Demographics
NPI:1851354591
Name:FRANCIS, PAUL STEWART (PHD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:STEWART
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 N PEARL ST
Mailing Address - Street 2:
Mailing Address - City:PAOLA
Mailing Address - State:KS
Mailing Address - Zip Code:66071-1166
Mailing Address - Country:US
Mailing Address - Phone:913-294-4001
Mailing Address - Fax:913-294-4001
Practice Address - Street 1:907 N PEARL ST
Practice Address - Street 2:SUITE #10
Practice Address - City:PAOLA
Practice Address - State:KS
Practice Address - Zip Code:66071-1166
Practice Address - Country:US
Practice Address - Phone:913-294-4001
Practice Address - Fax:913-294-4001
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSKS LP 379103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS066943Medicare ID - Type UnspecifiedMEDICARE ID