Individual
MS. JOHANNA KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-4545
Mailing address
12931 SE 228TH PL, KENT, WA 98031-3647
(206) 313-1165
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
RN60467711
WA
171M00000X
Case Manager/Care Coordinator
Primary
—
WA
Other
Enumeration date
05/31/2017
Last updated
12/28/2023
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