Individual
DR. FRANKLIN O DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 S 5TH ST, SUITE #9, BARDSTOWN, KY 40004-1142
(502) 348-7755
(502) 349-0815
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(502) 348-7755
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
29164
KY
207V00000X
Obstetrics & Gynecology Physician
Primary
29164
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1052134
PASSPORT
KY
01
—
29164
STATE LICENSE
KY
05
—
64291644
—
KY
Enumeration date
01/26/2006
Last updated
06/08/2021
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