National Provider Identifier
Kellie Lyn Drake, RN
Kellie Lyn Drake, RN is listed in the NPPES registry with a primary specialty of School Registered Nurse in Elmira Heights, NY and a listed phone number of (607) 734-7132.
Profile Overview
- NPI
- 1629700760
- Provider Type
- Individual
- Primary Specialty
- School Registered Nurse
- Enumeration Date
- June 28, 2022
- Last Updated
- June 28, 2022
Practice Location
- 100 Robinwood Ave
- Elmira Heights, NY 14903-1549
Phone: (607) 734-7132
Mailing Address
- 231 Scottwood Ave Apt B
- Elmira, NY 14903-1322
Specialties
- School Registered Nurse (163WS0200X)
Full Record
- NPI
- 1629700760
- Entity Type
- Individual
- Last Name
- Drake
- First Name
- Kellie
- Middle Name
- Lyn
- Name Prefix
- MS.
- Credential
- RN
- Mailing Street Address
- 231 Scottwood Ave Apt B
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14903-1322
- Mailing Country
- US
- Mailing Phone
- (607) 857-0751
- Practice Street Address
- 100 Robinwood Ave
- Practice City
- Elmira Heights
- Practice State
- NY
- Practice ZIP Code
- 14903-1549
- Practice Country
- US
- Practice Phone
- (607) 734-7132
- Enumeration Date
- June 28, 2022
- Last Updated
- June 28, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 28, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- School Registered Nurse (163WS0200X)