Drake, John Kirk

Drake, John Kirk is an individual health care provider with primary practice located at 6300 E Lake Blvd Suite 201, Vancleave MS 39565-6770. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Drake, John Kirk can be contacted via phone (228) 230-2663.

Contact Information

Primary practice address
6300 E Lake Blvd Suite 201 Vancleave MS 39565-6770
Phone: (228) 230-2663
Fax: (228) 206-1192
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 07298 Mississippi
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 07298 Mississippi

Profile Details

NPI number 1154349223
LBN Legal business name Drake, John Kirk
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Mar 22nd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154349223 NPPES
Mississippi MEDICAID 00117280

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