Individual
TAYLOR LANE KELLOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2038 LEE ROAD 137 LOT 310, AUBURN, AL 36832
(706) 255-6673
Mailing address
2038 LEE ROAD 137 LOT 310, AUBURN, AL 36832
(706) 255-6673
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S12765
AL
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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