Individual
JON GREGORY MCKELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2218 SHALLOCK AVE, KLAMATH FALLS, OR 97601-4290
(541) 883-8134
(541) 883-1510
Mailing address
2218 SHALLOCK AVE, KLAMATH FALLS, OR 97601-4290
(541) 882-3818
(541) 882-9800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD11585
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245228980
NPI
OR
Enumeration date
10/06/2005
Last updated
05/16/2019
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