IndividualActive
Kenneth Maier, MD
NPI 1790700714 · Family Medicine Physician · La Pine, OR
Provider details
- NPI number
- 1790700714
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 5721 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
51600 Huntington Rd
La Pine, OR 97739-9626
Phone: (541) 322-8830
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3300
La Pine, OR 97739-3300
Registry dates
- Enumerated
- 2006-07-12
- Last updated
- 2012-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.