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

Kylie Maran Fonteno, PA-C

Individual provider Physician Assistant · NPI 1225269459

Kylie Maran Fonteno, PA-C is a Physician Assistant in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2009.

Licensed in
OR
In the registry since
2009
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

1233 Edgewater St NW
Salem, OR 97304-4049
Phone: (503) 378-7526
Fax: (503) 585-4278
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA130055 (OR)

Record details

NPI number1225269459
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 5, 2009
Last updated in NPPESAugust 11, 2009

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