DR. KELLY JOSEPH DERRICK D.O. NPI 1407065725

NPI Information

NPI: 1407065725
Provider Name: DR. KELLY JOSEPH DERRICK, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
4501 CLEAR CREEK RD
KILLEEN, TX
ZIP 76549
Phone: (254) 501-6400
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DR. Kelly Joseph Derrick, D.O. is a family medicine in Killeen, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Kelly Joseph Derrick, D.O. NPI is 1407065725. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4501 CLEAR CREEK RD
KILLEEN, TX
ZIP 76549-218
Phone: (254) 501-6400

The enumeration date for this NPI number is 5/22/2007 and was last updated on 12/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207Q00000X	Family Medicine	5489	OKLAHOMA	No
2	207Q00000X	Family Medicine	T0194	TEXAS	Yes
3	207Q00000X	Family Medicine	E-5244	ARKANSAS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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