Carolynn A Kellogg in Traverse City - Nurse Practitioner
Carolynn A Kellogg - NPI 1083638886
Carolynn A Kellogg is a Nurse Practitioner in Traverse City, Michigan. Carolynn A Kellogg practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Carolynn A Kellogg is 1083638886. The last update date is 2007-07-08.
Carolynn A Kellogg's current location address is 4045 W Royal Dr, Traverse City, Michigan. You can contact this provider via phone number 2319350900 and fax number 2319350308. The mailing address for Carolynn A Kellogg is 4045 W Royal Dr, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolynn A Kellogg |
|---|---|
| Address | 4045 W Royal Dr, Traverse City, Michigan |
| Phone Number | 2319350900 |
| Fax Number | 2319350308 |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1083638886 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4045 W Royal Dr |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496848965 |
| Phone Number | 2319350900 |
| Fax Number | 2319350308 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 4704130185 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Post Comment/ Review Below
What is the unique identification code assigned to Carolynn A Kellogg by the Centers for Medicare & Medicaid Services?
The Carolynn A Kellogg has been issued the NPI (National Provider Identifier) 1083638886. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Carolynn A Kellogg is geographically located?
The Carolynn A Kellogg is physically situated at the following location: 4045 W Royal Dr, Traverse City, MI, 496848965.
What is the Carolynn A Kellogg's specialty and taxonomy code?
The Carolynn A Kellogg's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1083638886 to Carolynn A Kellogg?
The Centers for Medicare & Medicaid Services assigned the 1083638886 to Carolynn A Kellogg on 2006-07-26.
As of what date was the information pertaining to Carolynn A Kellogg, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Carolynn A Kellogg, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.