Kellogg, Kevin Ryan

Kellogg, Kevin Ryan is an individual health care provider with primary practice located at 16528 Desmet Ct , Spokane Valley WA 99216-3522. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Kellogg, Kevin Ryan can be contacted via phone (509) 944-8920.

Contact Information

Primary practice address
16528 Desmet Ct Spokane Valley WA 99216-3522
Phone: (509) 944-8920
Fax: (509) 227-7070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10005240 Washington

Profile Details

NPI number 1003899493
LBN Legal business name Kellogg, Kevin Ryan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Mar 1st, 2021 - about 3 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 1003899493 NPPES
Washington Other 0223708 LABOR & INDUSTRIES
Washington MEDICAID 8489171 LABOR & INDUSTRIES
Washington Other 8869632 LABOR & INDUSTRIES

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