Individual
MRS. APRIL L KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6960 LAKE BLUFF RD., WOLCOTT, NY 14590-9364
(315) 576-2319
Mailing address
6960 LAKE BLUFF RD, WOLCOTT, NY 14590-9364
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
238597
NY
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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