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1003899493
KEVIN RYAN KELLOGG
SPOKANE VALLEY, WA
NPI
1003899493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WA PA10005240)
Enumeration Date
2005-11-21
Last Update Date
2021-03-01
Business Address
KEVIN RYAN KELLOGG PA-C
16528 DESMET CT
SPOKANE VALLEY, WA 99216-3522
Phone number: 509-944-8920
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Mailing Address
KEVIN RYAN KELLOGG PA-C
PO BOX 421
LIBERTY LAKE, WA 99019-0421
Phone number: 509-624-2313
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