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SHELBY S KUYKENDALL CRM
NPI 1114809191
Peer Specialist in Medford, OR

Active since July 22, 2025
140 S HOLLY ST, MEDFORD, OR 97501(541) 774-8200 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shelby S Kuykendall Crm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELBY S KUYKENDALL CRM (NPI 1114809191) is an individual peer specialist in Medford, Oregon, licensed in (25-CRM-4227) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1114809191
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameSHELBY S KUYKENDALLCredential: CRM
Location Address140 S HOLLY STMedford, OR 97501-3113
Mailing Address140 S Holly StMedford, OR 97501-3113 · (541) 774-8200
Phone(541) 774-8200
Sole ProprietorNo
Enumeration DateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1114809191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed · 25-CRM-4227
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
140 S HOLLY ST, Medford, OR 97501
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER HARPER
Case Manager/Care Coordinator
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 774-7862
AMBER JENSEN
Counselor (Mental Health)
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 774-8200
MAUREEN MARTIN
Counselor (Mental Health)
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 774-7902
MARIE POPPA
Case Manager/Care Coordinator
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 774-7900
KATHLEEN MARIE CONNAIR-RAU PEER SUPPORT SPEC
Peer Specialist
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 841-0484
ANTHONY KAHALY MSW, MPH
Counselor (Mental Health)
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 774-8201
ALAINNA TOMLINSON
Peer Specialist
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 774-8200
MRS. JESSICA WILLIAMS
Case Manager/Care Coordinator
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 774-7902

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelby Kuykendall's NPI number?

The NPI number for Shelby Kuykendall is 1114809191. It was assigned to this individual provider in the NPPES registry on July 22, 2025.

Where is Shelby Kuykendall located?

Shelby Kuykendall practices at 140 S Holly St, Medford, OR 97501. The listed phone number is (541) 774-8200.

What is Shelby Kuykendall's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Shelby Kuykendall was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.