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Kelly Dean Pridgen, MD

Emergency Medicine Physician in Pendleton, OR · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013955798

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Registry record

Entity type Individual (Type 1)
Name Kelly Dean Pridgen
Credential MD
Sex Male
Practice address 1601 Se Court Ave, Pendleton, OR, 97801
Fax (541) 278-3661
Enumeration date Jun 3, 2006
Last updated in NPPES Mar 5, 2008

Taxonomy & licenses

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License MD24109 (OR) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
0224305 Other OR LIWA
181590 Medicaid OR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Kelly Pridgen?
The National Provider Identifier (NPI) for Kelly Pridgen is 1013955798, a Type 1 (individual) record in the CMS NPPES registry.
Where does Kelly Pridgen practice?
The practice location on file with NPPES is in Pendleton, OR. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-03-05.