Kellogg, Judy Kay

Kellogg, Judy Kay is an individual health care provider with primary practice located at 1025 Straka Ter , Oklahoma City OK 73139-2544. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Kellogg, Judy Kay can be contacted via phone (405) 632-6688.

Contact Information

Primary practice address
1025 Straka Ter Oklahoma City OK 73139-2544
Fax: (405) 604-0708
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X R0048419 Oklahoma

Profile Details

NPI number 1003037516
LBN Legal business name Kellogg, Judy Kay
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Mar 29th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003037516 NPPES
Oklahoma MEDICAID 100174990A

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