Individual
MS. PAMELA KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHN
Contact information
Practice address
1301 18TH AVE NW STE A, AUSTIN, MN 55912-1988
(507) 437-9770
(507) 434-2695
Mailing address
1301 18TH AVE NW STE A, AUSTIN, MN 55912-1988
(507) 437-9770
(507) 434-2695
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R120874-6
MN
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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