Kellogg, Carolyn Jo
Kellogg, Carolyn Jo is an individual health care provider with primary practice located at 2601 Cherry Ave #213, Bremerton WA 98310-4203. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kellogg, Carolyn Jo can be contacted via phone (360) 479-6041.Contact Information
Primary practice address
2601 Cherry Ave #213
Bremerton WA 98310-4203
Phone: (360) 479-6041
Fax: (360) 405-0768
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP30000016 | Washington |
Profile Details
| NPI number | 1326264631 |
|---|---|
| LBN Legal business name | Kellogg, Carolyn Jo |
| Credentials | ARNP BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Nov 15th, 2007 - about 19 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 | 1326264631 | NPPES |
| Washington | MEDICAID | 9652801 |
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