MS. MARLY KENNEDY PMHNP NPI 1801097183

NPI Information

  • NPI: 1801097183
  • Provider Name: MS. MARLY KENNEDY, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 1975 MCPHERSON ST
    SUITE 2
    NORTH BEND, OR
    ZIP 97459
  • Phone: (541) 756-2020

Map and Directions

Get Directions

NPI Details

MS. Marly Kennedy, PMHNP is a psychiatric/mental health nurse practitioner in North Bend, OR. MS. Marly Kennedy, PMHNP NPI is 1801097183. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1975 MCPHERSON ST
SUITE 2
NORTH BEND, OR
ZIP 97459-482
Phone: (541) 756-2020
Fax: (541) 756-8982

The enumeration date for this NPI number is 5/31/2007 and was last updated on 12/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health200450131NPOREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.