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Organization
DLK MEDICINE LLC
Active
Organization
DLK MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEATRICE KELLOGG MD (OWNER/PROVIDER)
(417) 803-4701
Entity
Organization
Contact information
Practice address
4457 S FARM ROAD 145, SPRINGFIELD, MO 65810-1414
(417) 830-4701
(855) 807-2451
Mailing address
4457 S FARM ROAD 145, SPRINGFIELD, MO 65810-1414
(417) 830-4701
(855) 807-2451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/03/2026
Last updated
09/03/2026
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