Individual
MALLORY DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
12801 SAINT ANDREWS DR, KANSAS CITY, MO 64145-1229
(816) 752-2358
Mailing address
12801 SAINT ANDREWS DR, KANSAS CITY, MO 64145-1229
(816) 752-2358
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17-02662
KS
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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