Drake, Kimberly Ann

Drake, Kimberly Ann is an sole proprietor health care provider with primary practice located at 325 Alexander St , Fayetteville NC 28301-5752. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Drake, Kimberly Ann can be contacted via phone (910) 920-1068.

Contact Information

Primary practice address
325 Alexander St Fayetteville NC 28301-5752
Phone: (910) 920-1068
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 7977 North Carolina

Profile Details

NPI number 1982983037
LBN Legal business name Drake, Kimberly Ann
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2011
Last updated Apr 3rd, 2013 - about 11 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 1982983037 NPPES
North Carolina MEDICAID 1413735J65F1

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