Deatrice L Kellogg MD
Deatrice L Kellogg MD is a Geriatric Medicine (Internal Medicine) Physician in Swansea, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
2661 N Illinois St Pmb 309Swansea, IL 62226-2316
Phone: (618) 257-2029
Fax: (618) 235-5371
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Specialties & licences
| Geriatric Medicine (Internal Medicine) Physician (primary) | Taxonomy 207RG0300X · Licence 036097679 (IL) |
|---|
Record details
| NPI number | 1023058484 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Deatrice Kellogg — Owner · (618) 257-2029 |
| NPI enumerated | June 7, 2006 |
| Last updated in NPPES | September 17, 2008 |
| Mailing address | 2661 N Illinois St, Pmb 309, Swansea, IL 62226-2316 |