Individual
KAY RAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1015 4TH AVE S, WISHEK, ND 58495-7527
(701) 452-2364
Mailing address
PO BOX 647, WISHEK, ND 58495-0647
(701) 452-2364
(701) 452-4276
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0137
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-18080
MEDICA @ WISHEK
ND
01
—
01-18081
MEDICA @ KULM
ND
01
—
01-18083
MEDICA @ NAPOLEON
ND
01
—
1008357
PREFERRED ONE
ND
01
—
12911
BSND @ GACKLE
ND
01
—
12912
BSND @ WISHEK
ND
01
—
12913
BSND @ NAPOLEON
ND
05
—
13969
—
ND
05
—
5028
—
ND
05
—
5063
—
ND
05
—
5085
—
ND
05
—
5166
—
ND
01
—
970002186
RR MEDICARE
ND
01
—
975382
AMERICA'S PPO
ND
Enumeration date
07/06/2006
Last updated
12/05/2013
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