Dr DEATRICE LUMAE KELLOGG MD is a female medical professional, specializing in Family Medicine. She graduated in 1995 from Saint Louis University School Of Medicine.
LESTER E COX MEDICAL CENTERS
3525 S NATIONAL AVE ST
SPRINGFIELD
MO
658077315
Tel:
| Npi | 1528007416 |
| Pac Id | 0446144059 |
| Professional Enrollment Id | I20121112000598 |
| Last Name | KELLOGG |
| First Name | DEATRICE |
| Middle Name | LUMAE |
| Suffix | |
| Gender | F |
| Credential | MD |
| Medical School Name | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | GERIATRIC MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | GERIATRIC MEDICINE |
| Organization Legal Name | LESTER E COX MEDICAL CENTERS |
| Group Practice Pac Id | 1254248917 |
| Number Of Group Practice Members | 106 |
| Line 1 Street Address | 3525 S NATIONAL AVE ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 658077315 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 260040 |
| Hospital Affiliation Lbn 1 | COX MEDICAL CENTERS |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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