Konkler, Kerin S
Konkler, Kerin S is an individual health care provider with primary practice located at 3680 Nw Samaritan Dr , Corvallis OR 97330-3737. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Konkler, Kerin S can be contacted via phone (541) 754-1150.Contact Information
Primary practice address
3680 Nw Samaritan Dr
Corvallis OR 97330-3737
Phone: (541) 754-1150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 201391251NP-PP | Oregon |
Profile Details
| NPI number | 1235561390 |
|---|---|
| LBN Legal business name | Konkler, Kerin S |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2013 |
| Last updated | May 24th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235561390 | NPPES |
| Oregon | MEDICAID | 500661401 |
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