Individual
LINDSAY ELIZABETH KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
765 ROUTE 10 E, SUITE 201, RANDOLPH, NJ 07869-1925
(973) 989-0068
Mailing address
105 RAIDER BLVD, SUITE 101, HILLSBOROUGH, NJ 08844-1528
(908) 281-0221
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00664000
NJ
363LF0000X
Family Nurse Practitioner
26NJ00664000
NJ
Other
Enumeration date
08/29/2016
Last updated
03/31/2017
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