Individual provider · Type 1 NPI
Mallory Kay Racoski, PA-C
Medical Physician Assistant · Tunkhannock, PA
NPI number
1780992230
Active
Practice location
5950 Sr 6 Fl 4
Tunkhannock, PA 18657
Fax (570) 836-5536
Other practice locations
- 407 N State St, Clarks Summit, PA 18411-1097 · (570) 586-1134
- 1400 Main St, Peckville, PA 18452-2078 · (570) 383-0236
- 417 Main St, Laceyville, PA 18623-6821 · (570) 869-0120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | MA054645 (PA) |
| Medical Physician Assistant | 363AM0700X | OA004422 (PA) |
Medical Physician Assistant: Definition to come...
About NPI 1780992230
Mallory Kay Racoski, PA-C's National Provider Identifier is 1780992230, issued on Sep 17, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tunkhannock, PA. The record was last updated on Sep 30, 2019.