Individual
THOMAS C KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 852-5851
(502) 852-3762
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 852-5851
(502) 852-3762
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3009689
KY
367500000X
Certified Registered Nurse Anesthetist
RN162721
GA
Other
Enumeration date
12/28/2006
Last updated
09/26/2024
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