Dr KEVIN R KELLOGG PA is a male medical professional, specializing in Physician Assistant. He graduated in 2004.
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1200 E COLUMBIA AVE
COLVILLE
WA
991143354
Tel: 5096843701
| Npi | 1003899493 |
| Pac Id | 0446212104 |
| Professional Enrollment Id | I20080108000397 |
| Last Name | KELLOGG |
| First Name | KEVIN |
| Middle Name | R |
| Suffix | |
| Gender | M |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Group Practice Pac Id | 0345139929 |
| Number Of Group Practice Members | 544 |
| Line 1 Street Address | 1200 E COLUMBIA AVE |
| Line 2 Street Address | |
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| City | COLVILLE |
| State | WA |
| Zip Code | 991143354 |
| Phone Number | 5096843701 |
| Hospital Affiliation Ccn 1 | 500077 |
| Hospital Affiliation Lbn 1 | PROVIDENCE HOLY FAMILY HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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