Provider Demographics
NPI:1952765497
Name:DREXLER, KATHLEEN ARIEL (MD)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:ARIEL
Last Name:DREXLER
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 1:3010 OLD CLINIC BUILDING CB #7516
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7516
Mailing Address - Country:US
Mailing Address - Phone:919-966-1601
Mailing Address - Fax:
Practice Address - Street 1:675 N SAINT CLAIR ST STE 14-200
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-5966
Practice Address - Country:US
Practice Address - Phone:312-695-7542
Practice Address - Fax:312-695-5462
Is Sole Proprietor?:No
Enumeration Date:2016-04-11
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.068876207V00000X
NC2020-02129207V00000X, 208M00000X
IL036164813207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist