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Taylor Lane Kellogg
Student in an Organized Health Care Education/Training Program in Auburn, Alabama
NPI 1700416203

Taylor Lane Kellogg is a Student in an Organized Health Care Education/Training Program based in Auburn, AL. Taylor Lane Kellogg practices in Auburn, AL. The NPI Number for Taylor Lane Kellogg is 1700416203 and holds a License No. S12765 (Alabama).

The current practice location address for Taylor Lane Kellogg is 2038 Lee Road 137 Lot 310, Auburn, AL and can be reached out via phone at 706-255-6673.

Location: 2038 Lee Road 137 Lot 310, Auburn, AL, 36832
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700416203
Provider Name
Taylor Lane Kellogg
Credential
Provider Entity Type
Individual
Gender
Male
Address
2038 Lee Road 137 Lot 310, Auburn, AL, 36832
Phone Number
706-255-6673
Fax Number
Provider Enumeration Date
01/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2038 Lee Road 137 Lot 310
City
Auburn
State
Alabama
Zip
36832
Phone Number
706-255-6673
Fax Number
person
Provider Business Mailing Address Details
Address
2038 Lee Road 137 Lot 310
City
Auburn
State
Alabama
Zip
36832
Phone Number
706-255-6673
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
S12765 (Alabama)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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