Provider Demographics
NPI:1447482625
Name:EWING, RACHEL ANN (PA-C)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:ANN
Last Name:EWING
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:105 S ANDOVER RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002-7920
Mailing Address - Country:US
Mailing Address - Phone:316-733-5120
Mailing Address - Fax:316-733-1280
Practice Address - Street 1:105 S ANDOVER RD
Practice Address - Street 2:SUITE D
Practice Address - City:ANDOVER
Practice Address - State:KS
Practice Address - Zip Code:67002-7920
Practice Address - Country:US
Practice Address - Phone:316-733-5120
Practice Address - Fax:316-733-1280
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
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Provider Licenses
StateLicense IDTaxonomies
KST-02573363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant