Kristen Kellogg in New Hope - Specialist

Kristen Kellogg - NPI 1710988043

Kristen Kellogg is a Specialist in New Hope, Minnesota. Kristen Kellogg practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kristen Kellogg is 1710988043. The last update date is 2007-07-08.

Kristen Kellogg's current location address is 9220 Bass Lake Rd, New Hope, Minnesota. You can contact this provider via phone number 7635330363 and fax number 7635330842. The mailing address for Kristen Kellogg is 9220 Bass Lake Rd, New Hope, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Kristen Kellogg
Address 9220 Bass Lake Rd, New Hope, Minnesota
Phone Number 7635330363
Fax Number 7635330842
Sole Proprietor X
Credentials OTR/L

NPI Number Detail

NPI Number 1710988043
Provider Enumeration Date 2005-08-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 9220 Bass Lake Rd
City New Hope
State Minnesota (MN)
Post Code 554283000
Phone Number 7635330363
Fax Number 7635330842

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 102438
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Kristen Kellogg

What is the Kristen Kellogg's unique identification number?

The Kristen Kellogg has been assigned the NPI (National Provider Identifier) Number 1710988043 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Kristen Kellogg is physically located?

The Kristen Kellogg is physically situated at the following address: 9220 Bass Lake Rd, New Hope, MN, 554283000.

What is Kristen Kellogg's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kristen Kellogg's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

On what date was the 1710988043 assigned to Kristen Kellogg?

The Kristen Kellogg was issued its 1710988043 on 2005-08-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Kristen Kellogg last refreshed?

The information related to the Kristen Kellogg, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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