Individual
MR. JEFFREY J KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA, MBA
Contact information
Practice address
20 WILLIAMSTOWN RD, LANESBOROUGH, MA 01237-9548
(413) 455-6800
(833) 948-3572
Mailing address
26 STORMVIEW RD, LANESBOROUGH, MA 01237-9732
(413) 441-1921
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1520
MA
363AM0700X
Medical Physician Assistant
Primary
1520
MA
Other
Enumeration date
10/06/2005
Last updated
07/01/2024
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