Most Relevant Information
Provider Data
| NPI Number: | 1003037516 |
| Provider Name: | JUDY KAY KELLOGG ARNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LW0102X |
| Specialty: | Nurse Practitioner |
| License Number: | R0048419 |
Most Important Dates
| Enumeration Date: | 05/01/2007 |
| Last Updated: | 03/29/2011 |
Provider Practice Location
1025 STRAKA TER
OKLAHOMA CITY
OK
731392544
Practice Location Phone/Fax
| Phone: | 4056326688 |
| Fax: | 4056040708 |
Provider Mailing Location
1025 STRAKA TER
OKLAHOMA CITY
OK
731392544
Provider Mailing Phone/Fax
| Phone: | 4056326688 |
| Fax: | 4056040708 |