Individual
DR. KAREN SUE KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2640 W MARKET ST, SUITE 301, FAIRLAWN, OH 44333-4202
(330) 864-8501
Mailing address
2640 W MARKET ST, SUITE 301, FAIRLAWN, OH 44333-4202
(330) 864-8501
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36003216
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2317853
—
OH
Enumeration date
03/25/2006
Last updated
05/08/2014
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