Healthcare Provider Details

I. General information

NPI: 1710978630
Provider Name (Legal Business Name): KERRY L DRAIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 SE BISHOP BLVD STE 103
PULLMAN WA
99163-5502
US

IV. Provider business mailing address

840 SE BISHOP BLVD STE 103
PULLMAN WA
99163-5502
US

V. Phone/Fax

Practice location:
  • Phone: 509-336-7735
  • Fax: 509-715-2128
Mailing address:
  • Phone: 509-336-7735
  • Fax: 509-715-2128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberMD00040983
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: