Individual
COLLYN MICHAEL KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
913 W MAIN ST APT 518, OKLAHOMA CITY, OK 73106-7918
(713) 213-8060
Mailing address
913 W MAIN ST APT 518, OKLAHOMA CITY, OK 73106-7918
(713) 213-8060
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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