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Individual
AUDREY DEEKEN DRAISEY
Active
Individual
AUDREY DEEKEN DRAISEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036144258
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
04-46675
KS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2022029082
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
X
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710305560
—
IL
05
—
200131847
—
MO
05
—
30004995700001
—
KS
Enumeration date
03/30/2014
Last updated
05/13/2026
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