Individual
ALEXANDRA KRISTINE KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6136 LAKE MURRAY BLVD, LA MESA, CA 91942-2502
(877) 693-6266
Mailing address
5560 SHASTA LN APT 44, LA MESA, CA 91942-4410
(619) 840-4756
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA65973
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/11/2023
Last updated
04/09/2025
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