Individual
KERRY L DRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1330 N WASHINGTON ST STE 4200, SPOKANE, WA 99201-2476
(509) 747-1624
Mailing address
508 W 6TH AVE, SUITE 700, SPOKANE, WA 99204-2770
(509) 747-1624
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD00040983
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0193872
L & I
WA
01
—
030005405
RAILROAD MEDICARE
WA
01
—
7042560
AETNA
WA
01
—
807097100
IDAHO MEDICAID
ID
05
—
8319071
—
WA
Enumeration date
10/31/2005
Last updated
09/27/2021
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