Healthcare Provider Details

I. General information

NPI: 1700840550
Provider Name (Legal Business Name): VALERIE ELIZABETH DRAKE-ALBERT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 05/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 N WEBB RD
WICHITA KS
67206-3413
US

IV. Provider business mailing address

8100 E 22ND ST N BLDG 2200, STE 2
WICHITA KS
67226-2388
US

V. Phone/Fax

Practice location:
  • Phone: 316-634-0060
  • Fax: 316-634-0050
Mailing address:
  • Phone: 316-440-8383
  • Fax: 316-440-8163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0431192
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: