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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CLINT W KELLOGG, D.O.

Active Sole Proprietor

CLINT W KELLOGG, D.O. is a Sports Medicine (Emergency) healthcare provider located in COLUMBIA, Missouri. NPI 1477998839 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (Emergency) · COLUMBIA, MO

Registration Details

NPI Number
1477998839
Provider Type
Individual
Gender
Male
NPI Issued
Apr 30, 2013 (13.33070264095 yrs)
Last Updated
Mar 18, 2021
Licenses
Q9396 (TX)
2018010581 (MO)
Sole Proprietor
Yes

Practice Information

Address
3600 AMRON CT
COLUMBIA, MO, 65202
Browse MO providers · Browse ZIP 65202
Phone
5738741616
Fax
5738750300
Primary Specialty
Sports Medicine (Emergency)
207WX0107X
Additional Specialty
Sports Medicine (Emergency)

Other Sports Medicine (Emergency) Providers in COLUMBIA, MO

Name Credential NPI
DEAN P HAINSWORTH M.D. 1417905266
VAISHNAVI BALENDIRAN MD 1023570850
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.