Provider Demographics
NPI:1134321128
Name:FRANCIS, KAY (MA,LMFT,PA)
Entity type:Individual
Prefix:MS
First Name:KAY
Middle Name:
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:MA,LMFT,PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 W SUMMIT HILL DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37902-1025
Mailing Address - Country:US
Mailing Address - Phone:865-525-1099
Mailing Address - Fax:865-525-7494
Practice Address - Street 1:2699 STIRLING RD
Practice Address - Street 2:SUITE A-105
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-6517
Practice Address - Country:US
Practice Address - Phone:954-629-2399
Practice Address - Fax:954-962-4926
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-03
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0000092106H00000X
TN752106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1510128Medicaid