Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEFFREY J KELLOGG, PA, MBA
ActiveMR. JEFFREY J KELLOGG, PA, MBA is a Medical Physician Assistant healthcare provider located in LANESBOROUGH, Massachusetts. NPI 1215925011 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · LANESBOROUGH, MA
Registration Details
- NPI Number
- 1215925011
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 6, 2005 (20.837238061427 yrs)
- Last Updated
- Jul 1, 2024
- Licenses
-
1520 (MA)1520 (MA)
Practice Information
- Address
-
20 WILLIAMSTOWN RDLANESBOROUGH, MA, 012379548Browse MA providers · Browse ZIP 01237
- Phone
- 4134556800
- Fax
- 8339483572
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.