Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derby Derm

Organization Physician Assistant · NPI 1871771998

Derby Derm is a Physician Assistant in Derby, Kansas. Licensed in Kansas. Registered with an NPI since 2008.

Licensed in
KS
In the registry since
2008

Practice location Address checks out

1121 N College Park St Ste # 400
Derby, KS 67037-3665
Phone: (316) 788-3376
Fax: (316) 788-3378
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1500761 (KS)

Record details

NPI number1871771998
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tim Weide — President · (316) 788-3376
NPI enumeratedJanuary 31, 2008
Last updated in NPPESJanuary 31, 2008
Mailing address1121 N College Park St, Suite # 400, Derby, KS 67037-3665

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