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Individual

DR. JULIE AMELIA KELLOGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2627 RIVERSIDE AVE, JACKSONVILLE, FL 32204-4712
(904) 308-7372
(904) 308-2908
Mailing address
2627 RIVERSIDE AVE, JACKSONVILLE, FL 32204-4712
(904) 308-7372
(904) 308-2908

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01043647A
IN
208000000X
Pediatrics Physician
Primary
ME127399
FL

Other

Enumeration date
02/21/2006
Last updated
04/12/2016
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