Individual
DR. REBECCA LEEANNE KELLOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
245 W STATE HIGHWAY 114, SOUTHLAKE, TX 76092-3637
(319) 393-2796
(319) 393-4782
Mailing address
1727 BOYSON RD, HIAWATHA, IA 52233-2313
(319) 393-2796
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
80138
TX
237600000X
Audiologist-Hearing Aid Fitter
093218
IA
237600000X
Audiologist-Hearing Aid Fitter
80138
TX
Other
Enumeration date
08/07/2009
Last updated
09/15/2022
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