Individual
ALEXANDRA KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
238 W MAIN ST, WINNECONNE, WI 54986
(920) 706-0178
(920) 703-0179
Mailing address
238 W MAIN ST, PO BOX 365, WINNECONNE, WI 54986
(920) 706-0178
(920) 703-0179
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4667-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4667-012
STATE OF WISCONSIN
WI
Enumeration date
11/04/2010
Last updated
09/26/2014
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