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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. KATHRYN JENNY DERRICK, PA-C

Active

MS. KATHRYN JENNY DERRICK, PA-C is a Physician Assistant healthcare provider located in SUN CITY CENTER, Florida. NPI 1215412309 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SUN CITY CENTER, FL

Registration Details

NPI Number
1215412309
Provider Type
Individual
Gender
Female
NPI Issued
Sep 25, 2018 (7.8658955553526 yrs)
Last Updated
Jan 18, 2023
Licenses
9111539 (FL)
PA9111539 (FL)

Practice Information

Address
991 E DEL WEBB BLVD
SUN CITY CENTER, FL, 335736669
Browse FL providers · Browse ZIP 33573
Phone
8139789700
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in SUN CITY CENTER, FL

Name Credential NPI
MS. PATRICIA HERMANS P.A. 1427015684
MS. TARA JO DUQUETTE PA-C 1427094994
EDUARDO MANUEL VAZQUEZ PA 1164468849
MR. MITCHELL COSTIN MCDOWELL PA-C 1003842519
MR. MARK R WINER PA-C 1134200470
JENNIFER LYNN HORKAN PA 1023345154
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.