Individual provider · Type 1 NPI

Kirsten Bailey Dericks, PA-C

Physician Assistant · New Albany, IN

NPI number 1689353930 Active

Practice location

3211 Grant Line Rd Ste 15
New Albany, IN 47150-2175

Call (812) 221-1186 Map

Fax (949) 882-0452

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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 1689353930

Kirsten Bailey Dericks, PA-C's National Provider Identifier is 1689353930, issued on Jul 13, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in New Albany, IN. The record was last updated on Apr 9, 2026.