Healthcare Provider Details

I. General information

NPI: 1932015609
Provider Name (Legal Business Name): CHLOE RAU PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 N MEAD ST
WICHITA KS
67202-2707
US

IV. Provider business mailing address

202 MEADOWLARK CT
ANDALE KS
67001-7048
US

V. Phone/Fax

Practice location:
  • Phone: 316-640-4859
  • Fax:
Mailing address:
  • Phone: 316-640-4859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: