Individual
MRS. CAROLYN JO KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP BC
Contact information
Practice address
2601 CHERRY AVE, #213, BREMERTON, WA 98310-4203
(360) 479-6041
(360) 405-0768
Mailing address
2601 CHERRY AVE, #213, BREMERTON, WA 98310-4203
(360) 479-6041
(360) 405-0768
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30000016
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9652801
—
WA
Enumeration date
04/17/2007
Last updated
11/15/2007
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