Mr. Jeffrey J Kellogg, PA, MBA
Physician Assistant, Medical in Lanesborough, Massachusetts
1215925011- Practice location
- 20 Williamstown RD, Lanesborough, MA 01237-9548
- Phone
- 413-455-6800
- Fax
- 833-948-3572
- Last updated
- July 1, 2024
Jeffrey J Kellogg is a Physician Assistant, Medical based in Lanesborough, MA. Jeffrey J Kellogg practices in Lanesborough, MA and has the professional credentials of PA, MBA. The NPI Number for Jeffrey J Kellogg is 1215925011 and holds a License No. 1520 (MA). The current practice location address for Jeffrey J Kellogg is 20 Williamstown RD, Lanesborough, MA 01237-9548 and can be reached out via phone at 413-455-6800 and via fax at 833-948-3572.
Provider Profile Details
- NPI Number
- 1215925011
- Provider Name
- Jeffrey J Kellogg
- Credential
- PA, MBA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 20 Williamstown RD, Lanesborough, MA 01237-9548
- Phone Number
- 413-455-6800
- Fax Number
- 833-948-3572
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 6, 2005
- Last Update Date
- July 1, 2024
- Certification Date
- July 1, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 Williamstown RD
Lanesborough, MA 01237-9548 - City
- Lanesborough
- State
- Massachusetts
- Zip
- 01237-9548
- Phone Number
- 413-455-6800
- Fax Number
- 833-948-3572
Provider Business Mailing Address Details
- Address
- 26 Stormview RD
Lanesborough, MA 01237-9732 - City
- Lanesborough
- State
- MA
- Zip
- 01237-9732
- Phone Number
- 413-441-1921
License Information
- License Number (1)
- 1520
- License State (1)
- MA
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 1520
- License State (2)
- MA
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Jeffrey J Kellogg, PA, MBA?
The NPI number of Mr. Jeffrey J Kellogg, PA, MBA is 1215925011. It was assigned on October 6, 2005 and is currently active in the NPPES registry.
What is the specialty of Mr. Jeffrey J Kellogg, PA, MBA?
Mr. Jeffrey J Kellogg, PA, MBA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number 1520.
Where does Mr. Jeffrey J Kellogg, PA, MBA practice?
The practice location is 20 Williamstown RD, Lanesborough, MA 01237-9548. The office can be reached at 413-455-6800 (phone) or 833-948-3572 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215925011 directly on the NPPES registry website.