Individual
KELSEY HOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 386-6000
(206) 215-6364
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60953131
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2138653
—
WA
Enumeration date
04/01/2019
Last updated
11/18/2025
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