JEFFREY S KELLOGG

Dr JEFFREY S KELLOGG is a male medical professional, specializing in Psychologist, Clinical. He graduated in 1982.

Contact

3412 S ILLINOIS AVE
CARBONDALE
IL
629038362

Tel: 6184574488

JEFFREY S KELLOGG Information

Npi 1093740862
Pac Id 6406994771
Professional Enrollment Id I20091105000555
Last Name KELLOGG
First Name JEFFREY
Middle Name S
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1982
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
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Secondary Specialty 4
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Organization Legal Name
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Number Of Group Practice Members
Line 1 Street Address 3412 S ILLINOIS AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CARBONDALE
State IL
Zip Code 629038362
Phone Number 6184574488
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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