National Provider Identifier
Kelly Lee Drake, RN
Kelly Lee Drake, RN is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Registered Nurse in Lockport, NY and a listed phone number of (716) 804-3613.
Profile Overview
- NPI
- 1033803184
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Registered Nurse
- Enumeration Date
- June 02, 2023
- Last Updated
- June 02, 2023
Practice Location
- 5467 Upper Mountain RD Ste 100
- Lockport, NY 14094-1894
Phone: (716) 804-3613
Specialties
- Addiction (Substance Use Disorder) Registered Nurse (163WA0400X)
Full Record
- NPI
- 1033803184
- Entity Type
- Individual
- Last Name
- Drake
- First Name
- Kelly
- Middle Name
- Lee
- Credential
- RN
- Mailing Street Address
- 5467 Upper Mountain RD Ste 100
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-1894
- Mailing Country
- US
- Mailing Phone
- (716) 804-3613
- Practice Street Address
- 5467 Upper Mountain RD Ste 100
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-1894
- Practice Country
- US
- Practice Phone
- (716) 804-3613
- Enumeration Date
- June 02, 2023
- Last Updated
- June 02, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- June 02, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Registered Nurse (163WA0400X)