1538480439 Keith J. Derickson, MD
Family Medicine Physician
Active
Basic Information
- Full Name
- Keith J. Derickson, MD
- Gender
- Male
- Enumeration Date
- June 15, 2010
- Last Update
- September 28, 2020
Practice Location
- Address
- 6404 ROTHMAN RD
FORT WAYNE, IN 468351366 - Phone
- (260) 486-6197
- Fax
- (260) 486-9862
Mailing Address
- Address
- 6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 468047934 - Phone
- (260) 479-3516
- Fax
- (260) 479-3520
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Family Medicine | 01070470A | IN | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201047100 | 05 | IN | N/A |
Digital Endpoints
DIRECT
keith.derickson@lutheranhealthnetwork.cernerdirect.com
AMR direct address
Frequently Asked Questions
What is Keith J. Derickson, MD's NPI number?
Keith J. Derickson, MD's NPI number is 1538480439.
Which doctor has NPI number 1538480439?
The doctor with NPI number 1538480439 is Keith J. Derickson, MD.
What is Keith J. Derickson, MD's practice address?
Keith J. Derickson, MD's practice address is 6404 ROTHMAN RD, FORT WAYNE, IN, 468351366.
Which doctor practices at 6404 ROTHMAN RD, FORT WAYNE, IN, 468351366?
Keith J. Derickson, MD practices at 6404 ROTHMAN RD, FORT WAYNE, IN, 468351366.
What is Keith J. Derickson, MD's mailing address?
Keith J. Derickson, MD's mailing address is 6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN, 468047934.
What is Keith J. Derickson, MD's phone number?
Keith J. Derickson, MD's phone number is (260) 486-6197.
Who is (260) 486-6197?
(260) 486-6197 is the phone number for Keith J. Derickson, MD.
What is Keith J. Derickson, MD's specialty?
Keith J. Derickson, MD's specialty is Family Medicine Physician.
What type of doctor is Keith J. Derickson, MD?
Keith J. Derickson, MD is a Family Medicine Physician.
Is Keith J. Derickson, MD a Family Medicine?
Yes, Keith J. Derickson, MD is a Family Medicine.
Is Keith J. Derickson, MD still practicing?
Yes, Keith J. Derickson, MD is currently practicing.
Is Keith J. Derickson, MD accepting new patients?
Keith J. Derickson, MD may be accepting new patients. Please call their office at (260) 486-6197 to inquire about availability.
Is NPI 1538480439 still active?
Yes, NPI 1538480439 is currently active.
Where does Keith J. Derickson, MD practice?
Keith J. Derickson, MD practices in FORT WAYNE, IN.
Is Keith J. Derickson, MD a male or female doctor?
Keith J. Derickson, MD is a male doctor.