Individual
ELIZABETH LAUREL KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LN
Contact information
Practice address
2827 FORT MISSOULA RD, MISSOULA, MT 59804-7408
(406) 327-4096
(406) 327-4176
Mailing address
2827 FORT MISSOULA RD, MISSOULA, MT 59804-7408
(406) 327-4096
(406) 327-4176
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
MED-NUTR-LIC-21341
MT
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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