Individual
DR. RICHARD E KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
126 N WASHINGTON, EYE CARE TEAM, SPOKANE, WA 99201-0252
(509) 747-6581
(509) 747-6354
Mailing address
126 N WASHINGTON, EYE CARE TEAM, SPOKANE, WA 99201-0252
(509) 747-6581
(509) 747-6354
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001192
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2035202
—
WA
01
—
OD00001192
OD LICENSE
WA
Enumeration date
12/29/2005
Last updated
03/07/2023
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