Individual
MICHELLE M KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5640 S MARSHALL ST, DENVER, CO 80123-0806
(505) 379-3446
Mailing address
5640 S MARSHALL ST, DENVER, CO 80123-0806
(505) 379-3446
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1648342
CO
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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