Individual provider · Type 1 NPI

Kevin Michael Dennis, PAC

Surgical Physician Assistant · Bend, OR

NPI number 1063795003 Active

Practice location

1501 NE Medical Center Dr
Bend, OR 97701-6051

Mailing address

PO Box 6048
Bend, OR 97708-6048

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA156037 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1063795003

Kevin Michael Dennis, PAC's National Provider Identifier is 1063795003, issued on Sep 26, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bend, OR. The record was last updated on Jan 10, 2022.