Individual
KRISTIN HARRIS DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3655 VISTA AVE, SAINT LOUIS, MO 63110-2539
(142) 575-5553
Mailing address
645 N HARRISON AVE, SAINT LOUIS, MO 63122-2709
(314) 749-8004
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2018034165
MO
Other
Enumeration date
06/26/2012
Last updated
02/03/2023
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