Individual
KENDIS MOORE DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,NP
Contact information
Practice address
1008 E MCDOWELL RD, PHOENIX, AZ 85006-2603
(602) 393-0661
(602) 254-3474
Mailing address
4490 N DROMEDARY RD, PHOENIX, AZ 85018-2952
(602) 952-9074
(602) 840-9685
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN038738
AZ
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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