Individual
AMANDA L KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3007 N SAGINAW RD, MIDLAND, MI 48640-4555
(989) 633-1400
(989) 633-1457
Mailing address
3007 N SAGINAW RD, MIDLAND, MI 48640-4555
(989) 633-1400
(989) 633-1457
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704287024
MI
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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