Provider Demographics
NPI:1194355610
Name:FRANCIS, KASSANDRA LYNN (DC)
Entity type:Individual
Prefix:
First Name:KASSANDRA
Middle Name:LYNN
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:KASSANDRA
Other - Middle Name:LYNN
Other - Last Name:VARNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:418 CAPE CORAL PKWY W
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33914-6520
Mailing Address - Country:US
Mailing Address - Phone:612-730-1737
Mailing Address - Fax:
Practice Address - Street 1:418 CAPE CORAL PKWY W
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33914-6520
Practice Address - Country:US
Practice Address - Phone:612-730-1737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-23
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12414111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor