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

KIERSTEN RENE CARRICO, PA-C

Active

KIERSTEN RENE CARRICO, PA-C is a Physician Assistant healthcare provider located in FORT WAYNE, Indiana. NPI 1508203597 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FORT WAYNE, IN

Registration Details

NPI Number
1508203597
Provider Type
Individual
Gender
Female
NPI Issued
May 30, 2013 (13.024699880193 yrs)
Last Updated
Dec 19, 2024
License
1001557A (IN)

Practice Information

Address
7950 W JEFFERSON BLVD
SUTIE 2121
FORT WAYNE, IN, 468044140
Browse IN providers · Browse ZIP 46804
Phone
2604357937
Fax
2604357933
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in FORT WAYNE, IN

Name Credential NPI
BRIAN T LAURSEN P.A. 1164425187
GRETCHEN L CRAMPTON P.A. 1275536211
DEBORAH S CASTILE P.A. 1699778753
MR. CHRISTOPHER A FEGLEY PA 1003814476
DARLENE K HOOVER PA-C 1184625527
JENNIFER R. HOCKEMEYER PA 1376545111
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.