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

Kenneth Adam Conklin, MPAS, PA-C

Individual provider Surgical Physician Assistant · NPI 1669851606

Kenneth Adam Conklin, MPAS, PA-C is a Physician Assistant in Redmond, Oregon. Qualified in 2016, 10 years ago. Practices with St Charles Health System Inc, a 383-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
10
Licensed in
OR
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1315 NW 4th St Ste A
Redmond, OR 97756-1328
Phone: (541) 548-7761
Fax: (541) 598-3485
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA180597 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669851606
Entity typeIndividual (Type 1)
GenderMale
Credentials MPAS , PA-C
Sole proprietorYes
NPI enumeratedMay 22, 2015
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice St Charles Health System Inc — 383 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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