Mccracken, Katie L

Mccracken, Katie L is an individual health care provider with primary practice located at 3311 E Murdock St , Wichita KS 67208-3054. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Mccracken, Katie L can be contacted via phone (316) 689-9107.

Contact Information

Primary practice address
3311 E Murdock St Wichita KS 67208-3054
Phone: (316) 689-9107
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085003685 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-01571 Kansas

Profile Details

NPI number 1245486158
LBN Legal business name Mccracken, Katie L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2008
Last updated Dec 3rd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245486158 NPPES
Kansas MEDICAID 200970580A

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