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Mark T Kellogg, CRNA
Certified Registered Nurse Anesthetist in Farmington, Missouri
NPI 1326103490

Mark T Kellogg is a Certified Registered Nurse Anesthetist based in Farmington, MO. Mark T Kellogg practices in Farmington, MO and has the professional credentials of CRNA. The NPI Number for Mark T Kellogg is 1326103490 and holds a License No. 154494 (Missouri).

The current practice location address for Mark T Kellogg is 1101 Holly Ct, Farmington, MO and can be reached out via phone at 573-631-5116 and via fax at 573-756-8288. You can also correspond with Mark T Kellogg through the mailing address at 1101 HOLLY CT, FARMINGTON, MO - 63640-1171 (mailing address contact number: 573-747-1180).

Location: 1101 Holly Ct, Farmington, MO, 63640-1171
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326103490
Provider Name
Mark T Kellogg
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
1101 Holly Ct, Farmington, MO, 63640-1171
Phone Number
573-631-5116
Fax Number
573-756-8288
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
914703533 05 MO
institution
Provider Business Practice Location Address Details
Address
1101 Holly Ct
City
Farmington
State
Missouri
Zip
63640-1171
Phone Number
573-631-5116
Fax Number
573-756-8288
person
Provider Business Mailing Address Details
Address
1101 Holly Ct
City
Farmington
State
Missouri
Zip
63640-1171
Phone Number
573-747-1180
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
154494 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
154494 (Missouri)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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