Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Fredric Russell Kellogg, MD

Individual provider Internal Medicine Physician · NPI 1053341735

Fredric Russell Kellogg, MD is an Internal Medicine Physician in New York, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

222 W 14th St
New York, NY 10011-7200
Phone: (212) 604-1800
Fax: (212) 604-1892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125401 (NY)

Record details

NPI number1053341735
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESJuly 26, 2010

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