Individual provider · Type 1 NPI

Kenneth Adam Conklin, MPAS, PA-C

Surgical Physician Assistant · Redmond, OR

NPI number 1669851606 Active

Practice location

1315 NW 4th St Ste A
Redmond, OR 97756-1328

Call (541) 548-7761 Map

Fax (541) 598-3485

Mailing address

PO Box 5579
Bend, OR 97708-5579

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA180597 (OR)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1669851606

Kenneth Adam Conklin, MPAS, PA-C's National Provider Identifier is 1669851606, issued on May 22, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Redmond, OR. The record was last updated on Oct 17, 2025.