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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY KATHLEEN DRAKE, AUD CCCA

Active

MARY KATHLEEN DRAKE, AUD CCCA is a Audiologist healthcare provider located in MOORHEAD, Minnesota. NPI 1346332947 is currently active in the NPPES registry. Verify at CMS.

Audiologist · MOORHEAD, MN

Registration Details

NPI Number
1346332947
Provider Type
Individual
Gender
Female
NPI Issued
Sep 29, 2006 (19.855839160578 yrs)
Last Updated
Jul 8, 2007
License
7305 (MN)

Practice Information

Address
1104 7TH AVE SOUTH
MSUM BOX 119
MOORHEAD, MN, 565630001
Browse MN providers · Browse ZIP 56563
Phone
2184775953
Fax
5184774392
Primary Specialty
Audiologist
231H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.