Deatrice Lumae Kellogg in Springfield - Family Medicine

Deatrice Lumae Kellogg - NPI 1528007416

Deatrice Lumae Kellogg is a Family Medicine in Springfield, Missouri. Deatrice Lumae Kellogg practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Deatrice Lumae Kellogg is 1528007416. The last update date is 2015-10-08.

Deatrice Lumae Kellogg's current location address is 3800 S. National Ave, Springfield, Missouri. You can contact this provider via phone number 4172699220 and fax number 4172699229. The mailing address for Deatrice Lumae Kellogg is 3800 S. National Ave, Springfield, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Deatrice Lumae Kellogg
Address 3800 S. National Ave, Springfield, Missouri
Phone Number 4172699220
Fax Number 4172699229
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1528007416
Provider Enumeration Date 2006-06-06
Last Updated Date 2015-10-08

Provider Mailing Address Detail

Address 3800 S. National Ave
City Springfield
State Missouri (MO)
Post Code 658075284
Phone Number 4172699220
Fax Number 4172699229

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 2012030150
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00302605 RR MEDICARE
191723 GHP
8232095 IL BCBS
7300116 UHC

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FAQs about Deatrice Lumae Kellogg

What is the unique provider identifier assigned to Deatrice Lumae Kellogg?

The Deatrice Lumae Kellogg has been issued the NPI (National Provider Identifier) 1528007416 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Deatrice Lumae Kellogg's facilities are geographically located?

The facilities of Deatrice Lumae Kellogg are physically situated at the following location: 3800 S. National Ave, Springfield, MO, 658075284.

What is the Deatrice Lumae Kellogg's area of specialization and corresponding taxonomy classification?

The Deatrice Lumae Kellogg's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.

When was the Deatrice Lumae Kellogg's 1528007416 issued?

The Deatrice Lumae Kellogg's 1528007416 was issued on 2006-06-06.

As of what date were the details related to Deatrice Lumae Kellogg most recently updated or revised?

The information pertaining to Deatrice Lumae Kellogg, including its address, specialty, and other relevant details, was last updated or revised on 2015-10-08.

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