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

Kimberly Ann Medlock

Individual provider Counselor · NPI 1750090130

Kimberly Ann Medlock is a Counselor in Bend, Oregon. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

2480 NE Twin Knolls Dr
Bend, OR 97701-6833
Phone: (541) 848-1801
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1750090130
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 15, 2022
Last updated in NPPESNovember 15, 2022
Certification dateNovember 15, 2022
Mailing address16187 Dawn Rd, La Pine, OR 97739-8842

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