Kelly Joseph Derrick in Killeen - Family Medicine
Kelly Joseph Derrick - NPI 1407065725
Kelly Joseph Derrick is a Family Medicine in Killeen, Texas. Kelly Joseph Derrick practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kelly Joseph Derrick is 1407065725. The last update date is 2023-12-07.
Kelly Joseph Derrick's current location address is 4501 Clear Creek Rd, Killeen, Texas. You can contact this provider via phone number 2545016400. The mailing address for Kelly Joseph Derrick is 4501 Clear Creek Rd, Killeen, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Joseph Derrick |
|---|---|
| Address | 4501 Clear Creek Rd, Killeen, Texas |
| Phone Number | 2545016400 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1407065725 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2023-12-07 |
Provider Mailing Address Detail
| Address | 4501 Clear Creek Rd |
|---|---|
| City | Killeen |
| State | Texas (TX) |
| Post Code | 765494218 |
| Phone Number | 2545016400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 5489 |
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Definition: 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 i |
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Post Comment/ Review Below
What is the unique identifier code issued to Kelly Joseph Derrick by the Centers for Medicare & Medicaid Services?
The Kelly Joseph Derrick has been assigned the NPI (National Provider Identifier) 1407065725. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kelly Joseph Derrick?
The Kelly Joseph Derrick is physically situated at 4501 Clear Creek Rd, in the city of Killeen, state of TX, with the postal code 765494218.
What is Kelly Joseph Derrick's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kelly Joseph Derrick is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date was the 1407065725 assigned to Kelly Joseph Derrick?
The Kelly Joseph Derrick was issued its 1407065725 on 2007-05-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Kelly Joseph Derrick most recently updated or revised?
The information pertaining to Kelly Joseph Derrick, including its address, specialty, and other relevant details, was last updated or revised on 2023-12-07.