NPI 1003339920

Derick Thomas, PAC

Practitioner Physician Assistant Paducah, KY

Practice location

Address: 2603 Kentucky Ave STE 102, Paducah, KY 42003-3815
Phone: (270) 228-3973
Fax: (270) 359-5046

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA2242 (KY)

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Registry record

NPI: 1003339920
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jul 2017
Record last updated: 1 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.