Individual provider · Type 1 NPI

Kelly Renee Conklin, DNP

Family Nurse Practitioner · Roseburg, OR

NPI number 1609893395 Active

Practice location

913 NW Garden Valley Blvd
Roseburg, OR 97471

Fax (541) 440-1230

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X200450145NP (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1609893395

Kelly Renee Conklin, DNP's National Provider Identifier is 1609893395, issued on Jul 17, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Roseburg, OR. The record was last updated on Feb 25, 2026.