DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY MARIE HERZOG

Active

KELLY MARIE HERZOG is a Peer Specialist healthcare provider located in COOS BAY, Oregon. NPI 1073226890 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · COOS BAY, OR

Registration Details

NPI Number
1073226890
Provider Type
Individual
Gender
Female
NPI Issued
Dec 27, 2022 (3.6051776270278 yrs)
Last Updated
Dec 27, 2022

Practice Information

Address
155 S EMPIRE BLVD
COOS BAY, OR, 974203374
Browse OR providers · Browse ZIP 97420
Phone
5417563111
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in COOS BAY, OR

Name Credential NPI
CHAVA MENDELSOHN 1497109094
CHRISTINA MARIE SY 1154827558
KYLIE GOMES 1801362280
JASON ALLEN PAUL PSS, CRM 1013487404
RONNI WALTZ PSS 1144785064
DIANA JULIANNE COLLINS PSS 1245795095
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.