Individual
MISS KATLIN GRACE KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2200 TYDD ST, EUREKA, CA 95501-1284
(707) 441-1624
Mailing address
2969 FICKLE HILL RD, ARCATA, CA 95521-9064
(707) 601-8707
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95020610
CA
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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