Conklin, Kelsey Marie

Conklin, Kelsey Marie is an individual health care provider with primary practice located at 865 Sw Veterans Way , Redmond OR 97756-2583. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Conklin, Kelsey Marie can be contacted via phone (541) 382-4900.

Contact Information

Primary practice address
865 Sw Veterans Way Redmond OR 97756-2583
Phone: (541) 382-4900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 201041816RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201505842NP-PP Oregon

Profile Details

NPI number 1801255120
LBN Legal business name Conklin, Kelsey Marie
Credentials RN, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2016
Last updated Jan 10th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801255120 NPPES
Oregon MEDICAID 500706302

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