Individual provider · Type 1 NPI

Timothy Rafferty, PA-C

Medical Physician Assistant · Mcconnell Afb, KS

NPI number 1750799359 Active

Practice location

57950 Leavenworth St
Mcconnell Afb, KS 67221-3505

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Medical Physician Assistant Primary 363AM0700X237167 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1750799359

Timothy Rafferty, PA-C's National Provider Identifier is 1750799359, issued on Jul 27, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mcconnell Afb, KS. The record was last updated on Aug 26, 2025.