Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kristi Noel Hennan, MD

Individual provider Family Medicine Physician · NPI 1093720476

Dr. Kristi Noel Hennan, MD is an Internal Medicine in Medford, Oregon. Graduated from University of Vermont College of Medicine in 2004, 22 years ago. Practices with Dhs Office of Financial Services Irs Eopc Bmrc Eotc Osh Osh-P, a 46-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Trained at
University of Vermont College of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

19 Myrtle St
Medford, OR 97504-7337
Phone: (541) 773-3863
Fax: (541) 776-2892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A94660 (CA)

Record details

NPI number1093720476
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 31, 2006
Last updated in NPPESJune 11, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Dhs Office Of Financial Services Irs Eopc Bmrc Eotc Osh Osh-P — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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