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NPI Code Detail

MEDICARE: KELLEY LYNN BESTERFIELD

MEDICARE: KELLEY LYNN BESTERFIELD
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
1171M00000XCase Manager/Care CoordinatorOR

General Provider Information

NPI Number : 1790612794
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLEY LYNN BESTERFIELD
Provider Business Mailing Address
First Line : 623 S 16TH ST
Second Line :
City : PHILOMATH
State : OR
Zip : 97370-9666
Country : US
Telephone Number : 541-574-5960
Fax Number : 541-265-0601
Provider Business Practice Location Address
First Line : 51 SW LEE ST
Second Line :
City : NEWPORT
State : OR
Zip : 97365-3823
Country : US
Telephone Number : 541-574-5960
Fax Number : 541-265-0601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2026
Last Update Date : 05/05/2026

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Directions to “ KELLEY LYNN BESTERFIELD ” Practice Location

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