Kevin Ryan Kellogg, PA-C
NPI #1003899493 in Spokane Valley, Washington
Provider Information
- NPI Number
- 1003899493
- Entity Type
- Individual
- Name
- Kevin Ryan Kellogg, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA-C
- Enumeration Date
- Nov 21, 2005
- Last Updated
- Mar 1, 2021
Practice Location
- Address
- 16528 DESMET CT
- City
- Spokane Valley
- State
- Washington
- ZIP Code
- 99216-3522
- Phone
- (509) 944-8920
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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