Individual
KATHLEEN RAFTERY
Active
Individual
KATHLEEN RAFTERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA61285554
WA
363AM0700X
Medical Physician Assistant
MED-PAC-REG-0001782
MT
363AS0400X
Surgical Physician Assistant
Primary
MED-PAC-LIC-91166
MT
Other
Enumeration date
03/10/2016
Last updated
05/01/2024
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