Kevin Ryan Kellogg PA-C

NPI 1003899493 - Physician Assistant - 363AS0400X

NPI Details
NPI 1003899493
Gender Male
Enumeration Date 11/21/2005
Last Updated 10/20/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
16528 DESMET CT
SPOKANE VALLEY WA, 99216-3522, US
Phone (509) 944-8920
Fax (509) 227-7070
Business Location
PO BOX 421
LIBERTY LAKE WA, 99019-0421, US
Phone (509) 624-2313
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State Washington
License Number PA10005240
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According to our database, Kevin Ryan Kellogg PA-C NPI is 1003899493, taxonomy code is 363AS0400X and license number is PA10005240, license state is located at Washington. Kevin Ryan Kellogg PA-C physically located at 16528 Desmet Ct, Spokane Valley WA, 99216-3522. NPI Number Kevin Ryan Kellogg PA-C has the Individual type.

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1003899493 NPI number is provided on an as is basis without warranty of any kind. 1003899493 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Ryan Kellogg PA-C are for informational purposes only.