Individual provider · Type 1 NPI

Shelby S. Kuykendall, CRM

Peer Specialist · Medford, OR

NPI number 1114809191 Active

Practice location

140 S Holly St
Medford, OR 97501-3113

Call (541) 774-8200 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X25-CRM-4227

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1114809191

Shelby S. Kuykendall, CRM's National Provider Identifier is 1114809191, issued on Jul 22, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Medford, OR. The record was last updated on Oct 4, 2026.