Drake, Kimberly A

Drake, Kimberly A is an individual health care provider with primary practice located at 1151 Barataria Blvd , Marrero LA 70072-3044. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Drake, Kimberly A can be contacted via phone (504) 349-6401.

Contact Information

Primary practice address
1151 Barataria Blvd Marrero LA 70072-3044
Phone: (504) 349-6401
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 905286 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN061743 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 905286 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP04449 Louisiana

Profile Details

NPI number 1174580245
LBN Legal business name Drake, Kimberly A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Apr 20th, 2023 - about 3 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 1174580245 NPPES
Mississippi MEDICAID 05809264
Mississippi MEDICAID 1461083

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