Provider Demographics
NPI:1326513888
Name:DRURY, KIM ANN (RN, MSN)
Entity Type:Individual
Prefix:
First Name:KIM
Middle Name:ANN
Last Name:DRURY
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:KIM
Other - Middle Name:ANN
Other - Last Name:MILLER JAKOPAC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN MSN
Mailing Address - Street 1:712 SOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-2940
Mailing Address - Country:US
Mailing Address - Phone:412-243-3400
Mailing Address - Fax:
Practice Address - Street 1:777 PENN CENTER BLVD STE 200
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-5928
Practice Address - Country:US
Practice Address - Phone:412-731-9707
Practice Address - Fax:412-829-8121
Is Sole Proprietor?:No
Enumeration Date:2018-10-10
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN310403L163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARN310403LOtherRN