DR. VICTORIA ANN KELLOGG


Address: 112 W Main St, Lock Haven, PA 17745-1246
Phone: 5707481895

DR. VICTORIA ANN KELLOGG (NPI# 1225022460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225022460
Entity Type Individual
Full Name DR. VICTORIA ANN KELLOGG
Credential PHD, CRNP, MBA
Practice Address 112 W Main St
Lock Haven
PA 17745-1246
Mailing Address 261 Millgate Rd
Bellefonte
PA 16823-8573
Practice Telephone 5707481895
Mailing Telephone 8143551871
Enumeration Date 2005-09-02
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
UP005195V PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 112 W MAIN ST
City LOCK HAVEN
State PA
Zip Code 17745-1246

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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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Competitor

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City LOCK HAVEN
Zip Code 17745

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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