MEDICARE: RACHEL HENRY PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	15-02132	KS

General Provider Information

NPI Number	:	1093298218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL HENRY PA-C

Provider Business Mailing Address
First Line	:	9828 E SHANNON WOODS CIR STE 100
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67226-4100
Country	:	US
Telephone Number	:	316-631-1600
Fax Number	:	316-631-1617

Provider Business Practice Location Address
First Line	:	9828 E SHANNON WOODS CIR STE 100
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67226-4100
Country	:	US
Telephone Number	:	316-631-1600
Fax Number	:	316-631-1617

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2018
Last Update Date	:	05/24/2026

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Directions to “ RACHEL HENRY PA-C” Practice Location

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