Individual provider · Type 1 NPI

Tracy Kennelley, P.A-C

Physician Assistant · Bend, OR

NPI number 1639507288 Active

Practice location

2200 NE Neff Rd Ste 200
Bend, OR 97701-4281

Call (541) 382-3344 Map

Fax (541) 382-1681

Mailing address

PO Box 6095
Bend, OR 97708-6095

Other practice locations

  • 1150 N Indian Canyon Dr, Palm Springs, CA 92262-4872 · (760) 323-6511

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X51221 (CA)
Physician Assistant Primary 363A00000XPA167858 (OR)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1639507288

Tracy Kennelley, P.A-C's National Provider Identifier is 1639507288, issued on Oct 17, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bend, OR. The record was last updated on Jul 8, 2026.