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NPI Code Detail

MEDICARE: MS. KIRSTEN A DRAKE PA-C

MEDICARE: MS. KIRSTEN A DRAKE PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant431MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000096723OTHERMTBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1538131008
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KIRSTEN A DRAKE PA-C
Provider Business Mailing Address
First Line : 915 HIGHLAND BLVD
Second Line :
City : BOZEMAN
State : MT
Zip : 59715-6902
Country : US
Telephone Number : 406-414-5000
Fax Number :
Provider Business Practice Location Address
First Line : 905 HIGHLAND BLVD STE 4500
Second Line :
City : BOZEMAN
State : MT
Zip : 59715-6903
Country : US
Telephone Number : 406-414-5150
Fax Number : 406-414-5175
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2006
Last Update Date : 04/15/2025

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Directions to “ MS. KIRSTEN A DRAKE PA-C” Practice Location

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