Timothy Rafferty, PA-C
Individual provider Active NPI Medical Physician Assistant · McConnell Afb, KS
NPI 1750799359 · NPPES record last updated Aug 26, 2025
Key facts
- NPI
- 1750799359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 237167 (NC)
- Practice address
- 57950 Leavenworth St
McConnell Afb, KS 67221-3505 - Phone
- (316) 759-2057
- NPI assigned
- Jul 27, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237167 | NC | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | |||
| Medical Physician Assistant | 363AM0700X | 237167 | NC | Yes |
Addresses
Primary practice location
57950 Leavenworth St
McConnell Afb, KS 67221-3505
Mailing address
57950 Leavenworth St
McConnell Afb, KS 67221-3505
Other providers in McConnell Afb, KS
- Alisa A Norlin
- Harmony Osborn
- Thoa Ngoc Pham
- Allen Lee Plangklang
- Brooke Elizabeth Prine
- Jeremiah Gregory Raymo
- Levi Josiah Rickards
- Richard Jimenez Rubi
- Jessica Rynders
- Rose Lee Samples
All providers in McConnell Afb, KS · Medical Physician Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.