Individual
DEATRICE LUMAE KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4457 S FARM ROAD 145, SPRINGFIELD, MO 65810-1414
(417) 830-4701
Mailing address
4457 S FARM ROAD 145, SPRINGFIELD, MO 65810-1414
(417) 830-4701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2012030150
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191723
GHP
—
01
—
7300116
UHC
—
01
—
P00302605
RR MEDICARE
—
Enumeration date
06/06/2006
Last updated
06/04/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us