Individual
DR. RYAN THOMSON KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 LEE ST, CHARLOTTESVILLE, VA 22903
(434) 924-2706
(434) 924-9068
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101269846
VA
207T00000X
Neurological Surgery Physician
LL34898
SC
Other
Enumeration date
06/15/2012
Last updated
08/10/2023
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