Individual
KORY DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
203 MILLS AVE, GREENVILLE, SC 29605-4019
(864) 271-1844
Mailing address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 619-4400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6647
OK
207RN0300X
Nephrology Physician
Primary
89701
SC
Other
Enumeration date
04/04/2018
Last updated
07/26/2023
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