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NPI Code Detail

MEDICARE: KACY LYNN STRICKLAND

MEDICARE: KACY LYNN STRICKLAND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1831023829
Entity Type Code : Individual
Provider Name (Legal Business Name) : KACY LYNN STRICKLAND
Provider Business Mailing Address
First Line : 21229 DARBY CT
Second Line :
City : BEND
State : OR
Zip : 97702-9582
Country : US
Telephone Number : 808-343-0895
Fax Number :
Provider Business Practice Location Address
First Line : 61690 PETTIGREW RD
Second Line :
City : BEND
State : OR
Zip : 97702-2422
Country : US
Telephone Number : 541-617-0377
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2026
Last Update Date : 06/12/2026

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Directions to “ KACY LYNN STRICKLAND ” Practice Location

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