Provider Demographics
NPI:1669425955
Name:FRANCISCO, LINDA LEA (MD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:LEA
Last Name:FRANCISCO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:LEA
Other - Last Name:YUGEND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:818 N EMPORIA ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-3729
Mailing Address - Country:US
Mailing Address - Phone:316-263-5891
Mailing Address - Fax:316-263-3083
Practice Address - Street 1:818 N EMPORIA ST
Practice Address - Street 2:SUITE 310
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-3729
Practice Address - Country:US
Practice Address - Phone:316-263-5891
Practice Address - Fax:316-263-3083
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-19552207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100174070AMedicaid
KS100194610AMedicaid
390003306OtherRAILROAD MEDICARE
KS019481OtherBLUE CROSS BLUE SHIELD
619840OtherFIRSTGUARD
OK100174070AMedicaid
KS100194610AMedicaid