MR. Roderick Kelly, PA

NPI #1275637472 in Fort Polk, Louisiana

Provider Information

NPI Number: 1275637472
Entity Type: Individual
Name: MR. Roderick Kelly, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 11, 2006
Last Updated: Sep 16, 2025

Practice Location

Address: 1585 3RD ST
City: Fort Polk
State: Louisiana
ZIP Code: 71459-5102
Phone: (337) 531-3011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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