Individual provider · Type 1 NPI
Kimberly Ann Kyllo-Martin, FNP-PP
Nurse Practitioner · Coos Bay, OR
Practice location
1900 Woodland Dr
Coos Bay, OR 97420-2099
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 202105804NP-PP (OR) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1649849142
Kimberly Ann Kyllo-Martin, FNP-PP's National Provider Identifier is 1649849142, issued on Jun 21, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Coos Bay, OR. The record was last updated on Jun 23, 2021.