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

Kimberly Ann Kyllo-Martin, FNP-PP

Individual provider Nurse Practitioner · NPI 1649849142

Kimberly Ann Kyllo-Martin, FNP-PP is a Nurse Practitioner in Coos Bay, Oregon. Qualified in 2020, 6 years ago. Practices with Coquille Valley Health, a 20-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
6
Licensed in
OR
In the registry since
2021

Practice location Address checks out

1900 Woodland Dr
Coos Bay, OR 97420-2099
Phone: (541) 267-5151
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 202105804NP-PP (OR)

Record details

NPI number1649849142
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-PP
Sole proprietorNo
NPI enumeratedJune 21, 2021
Last updated in NPPESJune 23, 2021
Certification dateJune 23, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Coquille Valley Health — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Coos Bay