Individual
MS. KELLIE LYN DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 ROBINWOOD AVE, ELMIRA HEIGHTS, NY 14903-1549
(607) 734-7132
Mailing address
231 SCOTTWOOD AVE APT B, ELMIRA, NY 14903-1322
(607) 857-0751
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
688839
NY
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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