Individual
PATRICIA K KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 PLAGEMAN BLDG, CORVALLIS, OR 97331-8567
(541) 737-9355
(541) 737-9695
Mailing address
2773 NW SKYLINE DR, CORVALLIS, OR 97330-3167
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
93-6001786
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93-6001786
OUS
OR
Enumeration date
06/28/2011
Last updated
06/28/2011
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