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Roderick Kelly, PA
NPI 1275637472 · on the registry since 2006
Practice
- Address
- 1585 3rd St
Fort Polk, LA 71459 - Phone
- (337) 531-3011
- Organisation at this address
- Ach Bayne-Jones-Ft Johnson
Bayne-Jones Army Community Hospital
Bayne-Jones Army Community Hospital
Baynes-Jones Army Community HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 166
Additional practice sites
- 1549 E 70th St Ste 300, Shreveport, LA
- 1509 W Loop 281, Longview, TX
- 800 E Dawson St, Tyler, TX
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
- Licence states on file
- LA, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana