Individual
KENARIN KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6093 HUNTER RIDGE CIR, COLUMBUS, GA 31907-3680
(229) 401-8508
Mailing address
6093 HUNTER RIDGE CIR, COLUMBUS, GA 31907-3680
(229) 401-8508
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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