Stephens, George Kellogg
Stephens, George Kellogg is an individual health care provider with primary practice located at 2017 W I 35 Frontage Rd , Edmond OK 73013-8504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Stephens, George Kellogg can be contacted via phone (405) 757-3365.Contact Information
Primary practice address
2017 W I 35 Frontage Rd
Edmond OK 73013-8504
Phone: (405) 757-3365
Fax: (405) 757-3498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 15338 | Oklahoma |
Profile Details
| NPI number | 1205804424 |
|---|---|
| LBN Legal business name | Stephens, George Kellogg |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Aug 14th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205804424 | NPPES |
| Oklahoma | MEDICAID | 100128790B |
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