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Kenneth Adam Conklin, MPAS,PA-C
Surgical Physician Assistant in Redmond, Oregon
NPI 1669851606

Kenneth Adam Conklin is a Surgical Physician Assistant based in Bend, OR and is specialized in Surgical. Kenneth Adam Conklin practices in Redmond, OR and has the professional credentials of MPAS,PA-C. The NPI Number for Kenneth Adam Conklin is 1669851606 and holds a License No. (Oregon).

The current practice location address for Kenneth Adam Conklin is 1245 Nw 4Th St Ste 101, Redmond, OR and can be reached out via phone at 541-548-7761 and via fax at 541-598-3485.

Location: 1245 Nw 4Th St Ste 101, Redmond, OR, 97708-5579
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669851606
Provider Name
Kenneth Adam Conklin
Credential
MPAS,PA-C
Provider Entity Type
Individual
Gender
Male
Address
1245 Nw 4Th St Ste 101, Redmond, OR, 97708-5579
Phone Number
541-548-7761
Fax Number
541-598-3485
Provider Enumeration Date
05/22/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1245 Nw 4Th St Ste 101
City
Redmond
State
Oregon
Zip
97756-1680
Phone Number
541-548-7761
Fax Number
541-598-3485
person
Provider Business Mailing Address Details
Address
1245 Nw 4Th St Ste 101
City
Redmond
State
Oregon
Zip
97756-1680
Phone Number
541-548-7761
Fax Number
541-598-3485
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA180597 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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