MS. MARLY KENNEDY PMHNP
NPI 1801097183
Nurse Practitioner - Psychiatric/Mental Health in North Bend, OR

Active since May 31, 2007
1975 MCPHERSON ST, SUITE 2, NORTH BEND, OR 97459(541) 756-2020(541) 756-8982 Get Directions Write a Review

NPPES record last updated: December 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Marly Kennedy Pmhnp NPPES

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

MS. MARLY KENNEDY PMHNP (NPI 1801097183) is an individual psychiatric/mental health provider in North Bend, Oregon, licensed in Oregon (200450131NP) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1801097183
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. MARLY KENNEDYCredential: PMHNP
Location Address1975 MCPHERSON ST, SUITE 2North Bend, OR 97459-3482
Mailing Address1975 Mcpherson St, Suite 2North Bend, OR 97459-3482 · (541) 756-2020 · Fax (541) 756-8982
Fax(541) 756-8982
Sole ProprietorNo
Enumeration DateMay 31, 2007
Last NPPES UpdateDecember 28, 2018
NPI 1801097183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OR · 200450131NP
1975 MCPHERSON ST, North Bend, OR 97459

Other Names 1

Former Name (1)Marly Baker

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.

Counselor (Mental Health)
1975 MCPHERSON ST, SUITE 2
NORTH BEND, OR 97459
Social Worker (Clinical)
1975 MCPHERSON ST, SUITE 2
NORTH BEND, OR 97459
Case Manager/Care Coordinator
1975 MCPHERSON ST, STE 2
NORTH BEND, OR 97459
Case Manager/Care Coordinator
1975 MCPHERSON ST, SUITE 2
NORTH BEND, OR 97459
Case Manager/Care Coordinator
1975 MCPHERSON ST, SUITE 2
NORTH BEND, OR 97459
Counselor (Mental Health)
1975 MCPHERSON ST, SUITE 2
NORTH BEND, OR 97459
Social Worker (Clinical)
1975 MCPHERSON ST, SUITE 2
NORTH BEND, OR 97459
Counselor (Mental Health)
1975 MCPHERSON ST, STE. 2
NORTH BEND, OR 97459

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 Marly Kennedy's NPI number?

The NPI number for Marly Kennedy is 1801097183. It was assigned to this individual provider in the NPPES registry on May 31, 2007. The provider is also known as Marly Baker.

Where is Marly Kennedy located?

Marly Kennedy practices at 1975 Mcpherson St Suite 2, North Bend, OR 97459. The listed phone number is (541) 756-2020.

What is Marly Kennedy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Marly Kennedy was last updated on December 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.