Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derek Keith Kelly, MD

Individual provider Emergency Medicine Physician · NPI 1164622007

Derek Keith Kelly, MD is an Emergency Medicine Physician in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 8th Ave
Fort Worth, TX 76104-4110
Phone: (817) 922-7070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence N1708 (TX)

Record details

NPI number1164622007
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 19, 2007
Last updated in NPPESJune 21, 2012
Mailing address1400 8th Ave, Fort Worth, TX 76104-4110

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