Conklin, Kenneth Adam

Conklin, Kenneth Adam is an sole proprietor health care provider with primary practice located at 1245 Nw 4Th St Ste 101 , Redmond OR 97756-1680. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Conklin, Kenneth Adam can be contacted via phone (541) 548-7761.

Contact Information

Primary practice address
1245 Nw 4Th St Ste 101 Redmond OR 97756-1680
Phone: (541) 548-7761
Fax: (541) 598-3485
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA180597 Oregon

Profile Details

NPI number 1669851606
LBN Legal business name Conklin, Kenneth Adam
Credentials MPAS, PA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2015
Last updated Apr 24th, 2020 - about 5 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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