Individual
PAMELA PARKINSON KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 IVY ST, BROOKLINE, MA 02446-4004
(617) 566-7428
(617) 232-3967
Mailing address
101 IVY ST, BROOKLINE, MA 02446-4004
(617) 566-7428
(617) 232-3967
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
50661
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700820
TUFTS HEALTH PLAN
MA
01
—
M17784
BCBS
MA
Enumeration date
12/13/2006
Last updated
07/08/2007
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