Individual provider · Type 1 NPI

Kristen Elizabeth Raczak, PA-C

Physician Assistant · Ludington, MI

NPI number 1740196955 Active

Practice location

1 Atkinson Dr
Ludington, MI 49431-1906

Call (616) 391-3139 Map

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601014243 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1740196955

Kristen Elizabeth Raczak, PA-C's National Provider Identifier is 1740196955, issued on Aug 19, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Ludington, MI. The record was last updated on Nov 2, 2026.