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Individual

MS. DONNA ANN KELLOGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN, LAT, ATC

Contact information

Practice address
901 BOALSBURG PIKE, BOALSBURG, PA 16827-1139
(814) 574-9354
Mailing address
901 BOALSBURG PIKE, BOALSBURG, PA 16827-1139

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003776
PA

Other

Enumeration date
05/25/2006
Last updated
09/01/2020
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