Provider Demographics
NPI:1700840550
Name:DRAKE-ALBERT, VALERIE ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:ELIZABETH
Last Name:DRAKE-ALBERT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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 1:1855 N WEBB RD
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-3413
Practice Address - Country:US
Practice Address - Phone:316-634-0060
Practice Address - Fax:316-634-0050
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-17
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0431192207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200316700BMedicaid
KS105257Medicare ID - Type Unspecified
KS200316700BMedicaid