DEATRICE KELLOGG, MD
Family Medicine
Active
Individual
NPI: 1528007416
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 2012030150 (MO) |
Frequently Asked Questions
NPI 1528007416 is the National Provider Identifier for DEATRICE KELLOGG, MD, a Family Medicine provider located in Springfield, MO. This NPI was enumerated on June 6, 2006.
DEATRICE KELLOGG, MD practices at 4457 S FARM ROAD 145, Springfield, MO 65810.
Quick Facts
- NPI
- 1528007416
- Type
- Individual
- Enumerated
- Jun 6, 2006
- Last Updated
- Jun 4, 2024
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