Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 04-30968 | KS |
N | 208000000X | Pediatrician | 0430968 | KS |
N | 208000000X | Pediatrician | 2002014072 | MO |
NPI | 1003814567 |
---|---|
Provider Name | Dr. Carey Anne Rawson |
First Address | Merriam, KS 66204 |
Second Address | Merriam, KS 66204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2005 |
Last Update Date | 31/05/2012 |