Individual
PATRICIA M KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 PRIMROSE ST STE 202, HAVERHILL, MA 01830-2659
(978) 556-1000
(978) 556-0101
Mailing address
24 MORRILL PL STE 2, AMESBURY, MA 01913-3530
(978) 834-8074
(978) 834-8077
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
163778
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0391930
—
MA
05
—
30342198
—
NH
Enumeration date
02/12/2007
Last updated
06/09/2021
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