NPI 1073226890

Kelly Marie Herzog

Practitioner Peer Specialist Coos Bay, OR

Practice location

Address: 155 S Empire Blvd, Coos Bay, OR 97420-3374
Phone: (541) 756-3111

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1073226890
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Dec 2022
Record last updated: 27 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.