Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY D KELLOGG, MD
Active Sole ProprietorJEFFREY D KELLOGG, MD is a Adolescent Medicine healthcare provider located in SHEPHERDSTOWN, West Virginia. NPI 1861532350 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · SHEPHERDSTOWN, WV
Registration Details
- NPI Number
- 1861532350
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 7, 2007 (19.328623215295 yrs)
- Last Updated
- May 15, 2013
- Licenses
-
15594 (WV)15594 (WV)15594 (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
45 MADDEX DRSHEPHERDSTOWN, WV, 254434322Browse WV providers · Browse ZIP 25443
- Phone
- 3048769321
- Fax
- 3048761481
- Primary Specialty
-
Adolescent Medicine
207QA0505X
- Additional Specialty
- Adolescent Medicine
- Additional Specialty
- Geriatric Medicine
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.