Individual
PATRICIA E KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
580 ST. JOHNSBURY RD., LITTLETON, NH 03561
(603) 444-7070
(603) 444-4075
Mailing address
PO BOX 160, PATIENT FINANCIAL SERVICES, LITTLETON, NH 03561
(603) 259-7627
(603) 259-7561
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0125P
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0303988
—
VT
05
—
30518645
—
NH
05
—
70008987
—
NH
01
—
NH0783
MEDICARE B GROUP
NH
Enumeration date
11/13/2008
Last updated
09/03/2014
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