KATHLEEN RACICOT, PA-C
Physician Assistant - Surgical
Active
Individual
NPI: 1154655777
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | No | 31214 (MT) |
| Physician Assistant - Surgical | 363AS0400X | Yes | 31214 (MT) |
Frequently Asked Questions
NPI 1154655777 is the National Provider Identifier for KATHLEEN RACICOT, PA-C, a Physician Assistant - Surgical provider located in Missoula, MT. This NPI was enumerated on September 29, 2009.
KATHLEEN RACICOT, PA-C practices at 2740 SOUTH AVENUE WEST, SUITE 101, Missoula, MT 59804.
Quick Facts
- NPI
- 1154655777
- Type
- Individual
- Enumerated
- Sep 29, 2009
- Last Updated
- Feb 1, 2019
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