Provider Demographics
NPI:1174749857
Name:DRAKAS, KENNETH FRANCIS (DC)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:FRANCIS
Last Name:DRAKAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 SAND TRAP CIR
Mailing Address - Street 2:
Mailing Address - City:HARLEYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19438-2194
Mailing Address - Country:US
Mailing Address - Phone:215-870-4820
Mailing Address - Fax:215-256-9811
Practice Address - Street 1:173 MAIN ST
Practice Address - Street 2:
Practice Address - City:HARLEYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19438-2514
Practice Address - Country:US
Practice Address - Phone:215-256-8889
Practice Address - Fax:215-256-9811
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005172L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor