Individual provider · Type 1 NPI

Kiersten Rene Carrico, PA-C

Physician Assistant · Fort Wayne, IN

NPI number 1508203597 Active

Practice location

7950 W Jefferson Blvd, Sutie 2121
Fort Wayne, IN 46804-4140

Call (260) 435-7937 Map

Fax (260) 435-7933

Mailing address

10351 Dawsons Creek Blvd, Suite A-1
Fort Wayne, IN 46825-1904

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1001557A (IN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1508203597

Kiersten Rene Carrico, PA-C's National Provider Identifier is 1508203597, issued on May 30, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Dec 19, 2024.