Organization
FAIRLAWN FOOT & ANKLE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN S KELLOGG DPM (PROPRIETOR)
(330) 836-6670
Entity
Organization
Contact information
Practice address
2640 W MARKET ST, SUITE 301, FAIRLAWN, OH 44333-4202
(330) 864-8501
Mailing address
2640 W MARKET ST, SUITE 301, FAIRLAWN, OH 44333-4202
(330) 864-8501
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-00-3216-K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2884937
—
OH
Enumeration date
05/04/2007
Last updated
03/10/2014
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