Provider Demographics
NPI:1881709855
Name:FRANK, KAY ELLEN (MD)
Entity type:Individual
Prefix:DR
First Name:KAY
Middle Name:ELLEN
Last Name:FRANK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KAY ELLEN
Other - Middle Name:
Other - Last Name:BURDETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:331 LAIDLEY ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301-1619
Mailing Address - Country:US
Mailing Address - Phone:304-346-4400
Mailing Address - Fax:304-346-0704
Practice Address - Street 1:331 LAIDLEY ST
Practice Address - Street 2:SUITE 301
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-1619
Practice Address - Country:US
Practice Address - Phone:304-346-4400
Practice Address - Fax:304-346-0704
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2017-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-032436207W00000X
WV9281207W00000X, 207WX0107X
OH35032436207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0223725Medicaid
D31930Medicare UPIN
FR0867551Medicare ID - Type Unspecified