Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY JOSEPH DERRICK, D.O.
Active Sole ProprietorDR. KELLY JOSEPH DERRICK, D.O. is a Family Medicine healthcare provider located in KILLEEN, Texas. NPI 1407065725 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · KILLEEN, TX
Registration Details
- NPI Number
- 1407065725
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2007 (19.206280321135 yrs)
- Last Updated
- Dec 7, 2023
- Licenses
-
5489 (OK)T0194 (TX)E-5244 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4501 CLEAR CREEK RDKILLEEN, TX, 765494218Browse TX providers · Browse ZIP 76549
- Phone
- 2545016400
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in KILLEEN, TX
| Name | Credential | NPI |
|---|---|---|
| JASON DEAN RAMM | M.D. | 1639161631 |
| DR. MARK D. WILSON | MD | 1447246491 |
| DR. SANDRA KAY PARKER | M.D. | 1568447431 |
| DR. PAUL DOUGLAS GERDES | M.D. | 1972562395 |
| DR. JED STEWART FRITZ | M.D. | 1639138035 |
| DR. W MICHAEL AVERITT | D.O. | 1033179304 |
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.