Drake, Kevin

Drake, Kevin is an sole proprietor health care provider with primary practice located at 485 S Dobson Rd Ste 100 , Chandler AZ 85224-5603. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Drake, Kevin can be contacted via phone (602) 406-4000.

Contact Information

Primary practice address
485 S Dobson Rd Ste 100 Chandler AZ 85224-5603
Phone: (602) 406-4000
Fax: (602) 406-6498
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 6438 Arizona

Profile Details

NPI number 1285183681
LBN Legal business name Drake, Kevin
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2016
Last updated May 23rd, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285183681 NPPES
Arizona MEDICAID 221608

Popular Providers