Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RODERICK KELLY, PA
ActivePhysician Assistant · FORT POLK, LA
Registration Details
- NPI Number
- 1275637472
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 11, 2006 (19.622308111587 yrs)
- Last Updated
- Sep 16, 2025
- Licenses
-
PA200615 (LA)PA02232 (TX)
Practice Information
- Address
-
1585 3RD STFORT POLK, LA, 714595102Browse LA providers · Browse ZIP 71459
- Phone
- 3375313011
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in FORT POLK, LA
| Name | Credential | NPI |
|---|---|---|
| MR. ALVIN MAURICE HORN II | PA-C | 1558335497 |
| MR. AGOSTINO STEPHEN DIROMA | PA-C | 1639144389 |
| MRS. ROSALYN FITZPATRICK | PHYSICIAN ASSISTANT | 1871554188 |
| HENRY JOHNSON JR. | PA-C | 1316051964 |
| TROY LOUIS BIDEZ | PA-C | 1457414575 |
| MR. MARK ALEXANDER AZEL | PA-C | 1053477950 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.