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Individual
JEFFREY D KELLOGG
Active
Individual
JEFFREY D KELLOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
15594
WV
207QA0505X
Adult Medicine Physician
Primary
15594
WV
207QG0300X
Geriatric Medicine (Family Medicine) Physician
15594
WV
Other
Enumeration date
02/07/2007
Last updated
05/15/2013
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