Individual provider · Type 1 NPI

Roderick Kelly, PA

Physician Assistant · Fort Polk, LA

NPI number 1275637472 Active

Practice location

1585 3rd St
Fort Polk, LA 71459-5102

Call (337) 531-3011 Map

Mailing address

1509 W Loop 281 Ste 2-B
Longview, TX 75604-2820

Other practice locations

  • 1509 W Loop 281, Suite 2-B, Longview, TX 75604-2820 · (903) 759-9355
  • 1549 E 70th St Ste 300, Shreveport, LA 71105-5056 · (318) 300-3898
  • 800 E Dawson St, Tyler, TX 75701-2036 · (903) 606-4262

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA200615 (LA)
Physician Assistant Primary 363A00000XPA02232 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1275637472

Roderick Kelly, PA's National Provider Identifier is 1275637472, issued on Sep 11, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Polk, LA. The record was last updated on Sep 16, 2025.