SearchIdaho225100000X

Pamela Kellogg, MSPT

NPI 1932501921 · on the registry since 2014

Practice

Address
223 W Ironwood Dr
Coeur D Alene, ID 83814
Phone
(208) 449-0555
Organisation at this address
K Watts Dental Pllc
Travis D. Broughton
Yes Today Dentistry Coeur D'Alene Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
Licence states on file
ID, CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-09-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho