Individual
VERNON KELLOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
242 GREEN ST, GARDNER, MA 01440-1336
(978) 632-3420
(978) 630-6596
Mailing address
242 GREEN ST, GARDNER, MA 01440-1336
(978) 632-3420
(978) 630-6596
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
38932
MA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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