Provider Demographics
NPI:1437112893
Name:FRANKE, JENNY J (MD)
Entity type:Individual
Prefix:
First Name:JENNY
Middle Name:J
Last Name:FRANKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1532 LONE OAK RD STE 310
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42003-7942
Mailing Address - Country:US
Mailing Address - Phone:270-538-6200
Mailing Address - Fax:270-538-6220
Practice Address - Street 1:1532 LONE OAK RD STE 310
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-7942
Practice Address - Country:US
Practice Address - Phone:270-538-6200
Practice Address - Fax:270-538-6220
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY36638208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64921182Medicaid
KY64921182Medicaid
KY64921182Medicaid
KY0273304Medicare PIN
F91714Medicare UPIN
KY0365404Medicare PIN