Provider Demographics
NPI:1902976970
Name:VALERIE ELIZABETH DRAKE ALBERT, MD PA
Entity Type:Organization
Organization Name:VALERIE ELIZABETH DRAKE ALBERT, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:DRAKE ALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-440-8383
Mailing Address - Street 1:8100 E 22ND ST N
Mailing Address - Street 2:BLDG 2200, STE 2
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-2388
Mailing Address - Country:US
Mailing Address - Phone:316-440-8383
Mailing Address - Fax:316-440-8163
Practice Address - Street 1:8100 E 22ND ST N
Practice Address - Street 2:BLDG 2200, STE 2
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-2388
Practice Address - Country:US
Practice Address - Phone:316-440-8383
Practice Address - Fax:316-440-8163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0431192207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200316700BMedicaid
KS200316700BMedicaid
KSI29469Medicare UPIN