Julie M Kellogg in Walla Walla - General Practice

Julie M Kellogg - NPI 1063629194

Julie M Kellogg is a General Practice in Walla Walla, Washington. Julie M Kellogg practices all healthcare services and medical treatments related to General Practice. The NPI Number for Julie M Kellogg is 1063629194. The last update date is 2007-07-08.

Julie M Kellogg's current location address is 1602 Penny Ln, Walla Walla, Washington. You can contact this provider via phone number 5095220940 and fax number 5095259063. The mailing address for Julie M Kellogg is 1602 Penny Ln, Walla Walla, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Julie M Kellogg
Address 1602 Penny Ln, Walla Walla, Washington
Phone Number 5095220940
Fax Number 5095259063
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1063629194
Provider Enumeration Date 2007-05-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1602 Penny Ln
City Walla Walla
State Washington (WA)
Post Code 993624477
Phone Number 5095220940
Fax Number 5095259063

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DE00010292
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5023346 WA --

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FAQs about Julie M Kellogg

What is the unique identifier code issued to Julie M Kellogg by the Centers for Medicare & Medicaid Services?

The Julie M Kellogg has been assigned the NPI (National Provider Identifier) 1063629194. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Julie M Kellogg is located?

The Julie M Kellogg is situated at the following address: 1602 Penny Ln, Walla Walla, WA, 993624477.

What is Julie M Kellogg's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Julie M Kellogg is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

When was the Julie M Kellogg's 1063629194 issued?

The Julie M Kellogg's 1063629194 was issued on 2007-05-17.

As of what date was the information pertaining to Julie M Kellogg, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Julie M Kellogg, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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