MS. Kathryn Jenny Derrick, PA-C
MS. Kathryn Jenny Derrick, PA-C is a Physician Assistant in Sun City Center, Florida. Qualified in 2018, 8 years ago. Practices with Florida Anesthesia Medical Services 1, PA, a 10-clinician group and accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 8
- Licensed in
- FL
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
991 E Del Webb BlvdSun City Center, FL 33573-6669
Phone: (813) 978-9700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA9111539 (FL) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence 9111539 (FL) |
Record details
| NPI number | 1215412309 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | September 25, 2018 |
| Last updated in NPPES | January 18, 2023 |
| Certification date | January 18, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Florida Anesthesia Medical Services 1, Pa — 10 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Sun City Center
-
Leslee E Baute, PA
4002 Sun City Center Blvd Unit 102, Sun City Center, FL 33573-5208 · (813) 634-1455