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NPI Code Detail

MEDICARE: KELLIE DRAPEAU PA-C

MEDICARE:   KELLIE  DRAPEAU  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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1861780660
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLIE DRAPEAU PA-C
Provider Business Mailing Address
First Line : 1060 W PERIMETER RD
Second Line :
City : JB ANDREWS
State : MD
Zip : 20762-6602
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2800 EISENHOWER AVE
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-5204
Country : US
Telephone Number : 888-803-3370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2011
Last Update Date : 11/12/2025

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Directions to “ KELLIE DRAPEAU PA-C” Practice Location

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