| Doctor Name: | MR. KENYON LEE DRAPER |
| NPI Number: | 1144573197 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP-C |
| License Number: | 18041 |
| Business Practice Address: | 1470 E Gaston St Suite #300 Lincolnton Medical Group Lincolnton, NC - 280924431 |
| Business Phone Number: | 7047357474 |
| Business Fax Number: | |
| Mailing Address: | 1470 E Gaston St, Suite #300 Lincolnton Medical Group LINCOLNTON |
| State: | NC |
| Postal Code: | 280924431 |
| Phone Number: | 7047357474 |
| Fax Number: | |
| NPI Enumeration Date: | 10/16/2012 |
| NPI Last Update Date: | 08/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 18041 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |