Provider Demographics
NPI:1386102481
Name:FRANCO, MATEO (DC)
Entity type:Individual
Prefix:DR
First Name:MATEO
Middle Name:
Last Name:FRANCO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2331 FORTUNE DR STE 185
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-4281
Mailing Address - Country:US
Mailing Address - Phone:859-353-4574
Mailing Address - Fax:855-202-0706
Practice Address - Street 1:2331 FORTUNE DR STE 185
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-4281
Practice Address - Country:US
Practice Address - Phone:859-353-4574
Practice Address - Fax:855-202-0706
Is Sole Proprietor?:No
Enumeration Date:2019-03-07
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5592111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor