DR. KELLY JOSEPH DERRICK D.O.
NPI 1407065725
Family Medicine in Killeen, TX

Q: What is Kelly Derrick's NPI number?

The NPI number for Kelly Derrick is 1407065725. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Q: What is Kelly Derrick's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Derrick was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 22, 2007

4501 CLEAR CREEK RD, KILLEEN, TX 76549(254) 501-6400 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 7, 2023, Aug 8, 2022, Sep 9, 2021 (3 updates tracked since 2021).

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About Dr. Kelly Joseph Derrick D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY JOSEPH DERRICK D.O. (NPI 1407065725) is an individual family medicine provider in Killeen, Texas, licensed in Texas (T0194) and active in the NPI registry since May 2007. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407065725

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KELLY JOSEPH DERRICKCredential: D.O.

Location Address4501 CLEAR CREEK RDKilleen, TX 76549-4218

Mailing AddressPo Box 844658Dallas, TX 75284-4658

Phone(254) 501-6400

Sole ProprietorYes

Enumeration DateMay 22, 2007

Last NPPES UpdateDecember 7, 20233 updates tracked since enumeration

NPPES CertifiedDecember 7, 2023

✔ NPI 1407065725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in TX · T0194✔ Licensed in OK · 5489✔ Licensed in AR · E-5244

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 is not limited by age, sex, organ system, or disease entity.

4501 CLEAR CREEK RD, Killeen, TX 76549

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Secondary Practice Locations 2

Location 12901 Medical Center DrPocahontas, AR 72455-9438 · Phone (870) 892-4468

Location 26363 N State Highway 161 Ste 100Irving, TX 75038-2239 · Phone (469) 200-3272

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY KRISTEN DYE

Family Medicine