Kevin Ryan Kellogg in Spokane Valley - Surgical
Kevin Ryan Kellogg - NPI 1003899493
Kevin Ryan Kellogg is a Surgical in Spokane Valley, Washington. Kevin Ryan Kellogg practices all healthcare services and medical treatments related to Surgical. The NPI Number for Kevin Ryan Kellogg is 1003899493. The last update date is 2021-03-01.
Kevin Ryan Kellogg's current location address is 16528 Desmet Ct, Spokane Valley, Washington. You can contact this provider via phone number 5099448920 and fax number 5092277070. The mailing address for Kevin Ryan Kellogg is 16528 Desmet Ct, Spokane Valley, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Ryan Kellogg |
|---|---|
| Address | 16528 Desmet Ct, Spokane Valley, Washington |
| Phone Number | 5099448920 |
| Fax Number | 5092277070 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1003899493 |
|---|---|
| Provider Enumeration Date | 2005-11-21 |
| Last Updated Date | 2021-03-01 |
Provider Mailing Address Detail
| Address | 16528 Desmet Ct |
|---|---|
| City | Spokane Valley |
| State | Washington (WA) |
| Post Code | 992163522 |
| Phone Number | 5099448920 |
| Fax Number | 5092277070 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA10005240 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 223708 | WA | LABOR & INDUSTRIES | |
| 8489171 | WA | -- | |
| 8869632 | MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kevin Ryan Kellogg by the Centers for Medicare & Medicaid Services?
The Kevin Ryan Kellogg has been issued the NPI (National Provider Identifier) 1003899493 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kevin Ryan Kellogg?
The Kevin Ryan Kellogg is physically situated at 16528 Desmet Ct, in the city of Spokane Valley, state of WA, with the postal code 992163522.
What is Kevin Ryan Kellogg's area of expertise and its corresponding taxonomy classification?
The Kevin Ryan Kellogg's field of specialization is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003899493 to Kevin Ryan Kellogg?
The Centers for Medicare & Medicaid Services originally issued the 1003899493 to Kevin Ryan Kellogg on 2005-11-21.
As of what date were the details related to Kevin Ryan Kellogg most recently updated or revised?
The information pertaining to Kevin Ryan Kellogg, including its address, specialty, and other relevant details, was last updated or revised on 2021-03-01.
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