| Mr Roderick Kelly, PA | |
|
1585 3rd St, Fort Polk, LA 71459-5102 | |
| (337) 531-3011 | |
| Not Available |
| Full Name | Mr Roderick Kelly |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1585 3rd St, Fort Polk, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275637472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA02232 (Texas) | Primary |
| 363A00000X | Physician Assistant | PA200615 (Louisiana) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Roderick Kelly, PA 1509 W Loop 281, Suite 2-b, Longview, TX 75604-2820 Ph: (903) 759-9355 | Mr Roderick Kelly, PA 1585 3rd St, Fort Polk, LA 71459-5102 Ph: (337) 531-3011 |
Mr. Mark Alexander Azel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 46th Engineer Combat Battalion, Bldg. 2264, Suite 105, Fort Polk, LA 71459 Phone: 337-531-4233 | |
Mr. Eric Washington, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 337-531-3517 | |
Alexander Kenney, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 803-260-9993 | |
Mr. Samson Bekele Beshia, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 337-531-3118 | |
Jill Allyn Rogers, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 270-300-7544 | |
Michael Davidson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 337-531-3517 |