Individual
MRS. RACHELLE TIFFANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
850 N HILLSIDE ST, WICHITA, KS 67214-4914
(316) 962-3070
(316) 962-3136
Mailing address
850 N HILLSIDE ST, WICHITA, KS 67214-4914
(316) 962-3070
(316) 962-3136
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01203
KS
363A00000X
Physician Assistant
PA2011-0035
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96088834
—
NM
Enumeration date
08/16/2007
Last updated
04/07/2026
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