| Doctor Name: | MRS. JUDY KAY KELLOGG |
| NPI Number: | 1003037516 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | R0048419 |
| Business Practice Address: | 1025 Straka Ter Oklahoma City, OK - 731392544 |
| Business Phone Number: | 4056326688 |
| Business Fax Number: | 4056040708 |
| Mailing Address: | 1025 Straka Ter, OKLAHOMA CITY |
| State: | OK |
| Postal Code: | 731392544 |
| Phone Number: | 4056326688 |
| Fax Number: | 4056040708 |
| NPI Enumeration Date: | 05/01/2007 |
| NPI Last Update Date: | 03/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | R0048419 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |