Healthcare Provider Details

I. General information

NPI: 1285263897
Provider Name (Legal Business Name): KA'LA DRAYTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 BARNHILL DR EMERSON HALL 232
INDIANAPOLIS IN
46202
US

IV. Provider business mailing address

545 BARNHILL DRIVE EMERSON HALL 232
INDIANAPOLIS IN
46202
US

V. Phone/Fax

Practice location:
  • Phone: 317-278-0394
  • Fax:
Mailing address:
  • Phone: 317-278-0394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number01097761A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: