Deatrice L Kellogg MD

NPI #1023058484 in Swansea, Illinois

Provider Information

NPI Number
1023058484
Entity Type
Organization
Organization Name
Deatrice L Kellogg MD
Primary Specialty
Internal Medicine - Geriatric Medicine
Enumeration Date
Jun 7, 2006
Last Updated
Sep 17, 2008

Practice Location

Address
2661 N ILLINOIS ST
Address 2
PMB 309
ZIP Code
62226-2316
Phone
(618) 257-2029

Authorized Official

Name
DEATRICE LUMAE KELLOGG, M.D.
Title
OWNER
Phone
(618) 257-2029

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Geriatric MedicineGeriatric Medicine

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