Individual
KELLEY EVANS MEREDITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 388-4333
(541) 388-3446
Mailing address
796 SABOT HILL RD, MANAKIN SABOT, VA 23103-3006
(804) 357-2964
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-005774
VA
Other
Enumeration date
06/18/2017
Last updated
09/02/2025
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