Kevin Ryan Kellogg, PA-C
Kevin Ryan Kellogg, PA-C is a Physician Assistant in Spokane Valley, Washington. Qualified in 2004, 22 years ago. Practices with Providence Health and Services Washington, a 776-clinician group and accepts Medicare assignment. Licensed in Washington.
- Years since qualifying
- 22
- Licensed in
- WA
- In the registry since
- 2005
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
16528 Desmet CtSpokane Valley, WA 99216-3522
Phone: (509) 944-8920
Fax: (509) 227-7070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence PA10005240 (WA) |
|---|
Record details
| NPI number | 1003899493 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | November 21, 2005 |
| Last updated in NPPES | March 1, 2021 |
| Certification date | March 1, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Providence Health And Services Washington — 776 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Spokane Valley
-
Mr. Dennis S Frerichs, PA-C
1415 N Houk Rd Ste D, Spokane Valley, WA 99216-1043 · (509) 838-2531
-
Elizabeth Howard
16528 E Desmet Ct, Spokane Valley, WA 99216-3522 · (509) 944-8920
-
MS. Caroline Marie Stuart, PA-C, MPAS, ATC
16528 E Desmet Ct Ste B2200, Spokane Valley, WA 99216-3522 · (509) 944-8920