Individual provider · Type 1 NPI
Katlin Grace Kellogg, FNP-BC
Primary Care Nurse Practitioner · Eureka, CA
NPI number
1578299665
Active
Practice location
2200 Tydd St
Eureka, CA 95501-1284
Mailing address
2969 Fickle Hill Rd
Arcata, CA 95521-9064
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95020610 (CA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1578299665
Katlin Grace Kellogg, FNP-BC's National Provider Identifier is 1578299665, issued on Jul 29, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Eureka, CA. The record was last updated on Jul 29, 2022.