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Contact Information

JUDY K KELLOGG, ARNP
1025 STRAKA TER
OKLAHOMA CITY, OK73139-2544
 Phone: 405-632-6688
 Fax: 405-604-0708
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JUDY K KELLOGG · (Female)

NPI # 1003037516
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 05/01/2007
Last updated 03/29/2011 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OK License # R0048419
  • OK Medicaid 100174990A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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