Individual
JARED KYLE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1165 CENTRE TPKE, ORWIGSBURG, PA 17961-9343
(866) 785-8537
Mailing address
18 ROYALE DR, FAIRPORT, NY 14450-8419
(585) 755-8808
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA067188
PA
363A00000X
Physician Assistant
Primary
OA007480
PA
Other
Enumeration date
10/14/2025
Last updated
02/25/2026
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