RODERICK KELLY, PA

PA

Physician Assistant

NPI: 1275637472Individual

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA200615(LA)PA02232(TX)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2000

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Contact & Hours

Via practice · 4 locations total

Address: 1585 3RD ST
FORT JOHNSON, LA 71459
Phone: (337) 531-3011

Locations (4)

Practice Location

1585 3RD ST, FORT JOHNSON, LA

Practice Location

1509 W LOOP 281, LONGVIEW, TX

Practice Location

1549 E 70TH ST STE 300, SHREVEPORT, LA

Practice Location

800 E DAWSON ST, TYLER, TX

Quick Facts

NPI: 1275637472
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 2
Locations: 4
Years in Practice: 26

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