Individual
MR. TIMOTHY RAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
57950 LEAVENWORTH ST, MCCONNELL AFB, KS 67221-3505
(316) 759-2057
Mailing address
57950 LEAVENWORTH ST, MCCONNELL AFB, KS 67221-3505
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
237167
NC
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
07/27/2014
Last updated
08/26/2025
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