Physician Assistant, Surgical
KENNETH CONKLIN MPAS, PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1669851606 · enumerated 2015-05-22 · record updated 2025-10-17. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address PO BOX 5579, BEND, OR, 97708-5579 (541) 548-7761 Fax (541) 598-3485 Google Maps Apple Maps OpenStreetMap
- Practice location 1315 NW 4TH ST STE A, REDMOND, OR, 97756-1328 (541) 548-7761 Fax (541) 598-3485 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Surgical 363AS0400X · Primary · License PA180597 OR
- Student in an Organized Health Care Education/Training Program 390200000X
In this directory
Locations and evidence
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Practice location
REDMOND, OR, 977561328
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.