Individual
DR. NATASHA VICTORIA KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
Mailing address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R100141
AR
363LF0000X
Family Nurse Practitioner
Primary
120489
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236997758
—
AR
Enumeration date
04/24/2019
Last updated
07/08/2021
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