Individual
MR. JACSUN JAIMS KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHCNS
Contact information
Practice address
615 CHURCHILL HUBBARD RD, YOUNGSTOWN, OH 44505-1332
(330) 545-7940
Mailing address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-3332
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
APRN.CNS.10466
OH
Other
Enumeration date
11/25/2008
Last updated
10/24/2022
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