Individual
RACHEL ANDREAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
315 W 15TH ST, LIBERAL, KS 67901-2455
(620) 629-6477
(620) 629-6651
Mailing address
315 W 15TH ST, LIBERAL, KS 67901-2455
(620) 629-6477
(620) 629-6651
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1502261
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1502261
KANSAS STATE BOARD OF HEALING ARTS
KS
Enumeration date
05/28/2019
Last updated
02/18/2020
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