Individual
KATHRYN KELLOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8469 S SAGINAW ST, GRAND BLANC, MI 48439-2069
(810) 730-4110
Mailing address
2302 CRANES CV, BURTON, MI 48519-1368
(810) 780-4911
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101003126
MI
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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