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Deatrice Lumae Kellogg, MD
Family Medicine Physician in Springfield, Missouri
NPI 1528007416

Deatrice Lumae Kellogg is a Family Medicine Physician based in Springfield, MO. Deatrice Lumae Kellogg practices in Springfield, MO and has the professional credentials of MD. The NPI Number for Deatrice Lumae Kellogg is 1528007416 and holds a License No. 2012030150 (Missouri).

The current practice location address for Deatrice Lumae Kellogg is 4457 S Farm Road 145, Springfield, MO and can be reached out via phone at 417-830-4701.

Location: 4457 S Farm Road 145, Springfield, MO, 65810-1414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528007416
Provider Name
Deatrice Lumae Kellogg
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4457 S Farm Road 145, Springfield, MO, 65810-1414
Phone Number
417-830-4701
Fax Number
Provider Enumeration Date
06/06/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7300116 01 UHC
191723 01 GHP
P00302605 01 RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
4457 S Farm Road 145
City
Springfield
State
Missouri
Zip
65810-1414
Phone Number
417-830-4701
Fax Number
person
Provider Business Mailing Address Details
Address
4457 S Farm Road 145
City
Springfield
State
Missouri
Zip
65810-1414
Phone Number
417-830-4701
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
2012030150 (Missouri)
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 is not limited by age, sex, organ system, or disease entity.
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