Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLARK KELLOGG
Active Sole ProprietorCLARK KELLOGG is a Anesthesiologist Assistant healthcare provider located in MANSFIELD, Ohio. NPI 1457098154 is currently active in the NPPES registry. Verify at CMS.
Anesthesiologist Assistant · MANSFIELD, OH
Registration Details
- NPI Number
- 1457098154
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2022 (4.2558276937469 yrs)
- Last Updated
- Jan 9, 2023
- License
-
32698321 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
799 LEXINGTON AVEMANSFIELD, OH, 449071906Browse OH providers · Browse ZIP 44907
- Phone
- 4197565133
- Fax
- 4197749707
- Primary Specialty
-
Anesthesiologist Assistant
367H00000X
Other Anesthesiologist Assistant Providers in MANSFIELD, OH
| Name | Credential | NPI |
|---|---|---|
| MR. NATHANIEL A WALTON | AA | 1164791950 |
| MR. JOEL BAKER | — | 1831546142 |
| WOSEN D ASSEFA | — | 1316686843 |
| ABIGAIL C MCMULLEN | — | 1851286124 |
| VINCENT JAMES CANCILLA | — | 1639045404 |
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.