Individual
KERRY DRABISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
107 KOONTZ AVE STE 200, CLENDENIN, WV 25045-9581
(304) 548-7272
Mailing address
PO BOX 70, DAWES, WV 25054-0070
(304) 734-2040
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN63237FNP-BC
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760858401
—
WV
Enumeration date
08/17/2015
Last updated
07/25/2017
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