Active NPIIndividual provider

Carlton L Kellogg, PA-C

Physician Assistant in Rutland, Vermont

NPI Number1861162299
Practice location
1 Commons St, Rutland, VT 05701-4652
Fax
802-747-0129
Last updated
September 16, 2021

Carlton L. Kellogg is a Physician Assistant based in Rutland, VT. Carlton L. Kellogg practices in Rutland, VT and has the professional credentials of PA-C. The NPI Number for Carlton L. Kellogg is 1861162299 and holds a License No. 055.0031529 (VT). The current practice location address for Carlton L. Kellogg is 1 Commons St, Rutland, VT 05701-4652 and can be reached out via phone at 802-747-1857 and via fax at 802-747-0129.

Provider Profile Details

NPI Number
1861162299
Provider Name
Carlton L. Kellogg
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1 Commons St, Rutland, VT 05701-4652
Phone Number
802-747-1857
Fax Number
802-747-0129
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
September 16, 2021
Last Update Date
September 16, 2021
Certification Date
July 26, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Commons St
Rutland, VT 05701-4652
State
Vermont
Zip
05701-4652
Phone Number
802-747-1857
Fax Number
802-747-0129
Rutland, VT 05701Get directions →

Provider Business Mailing Address Details

Address
2041 Russellville RD
Shrewsbury, VT 05738-9444
City
Shrewsbury
State
VT
Zip
05738-9444
Phone Number
802-779-6744

License Information

License Number
055.0031529
License State
VT
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Carlton L Kellogg, PA-C?

The NPI number of Carlton L Kellogg, PA-C is 1861162299. It was assigned on September 16, 2021 and is currently active in the NPPES registry.

What is the specialty of Carlton L Kellogg, PA-C?

Carlton L Kellogg, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in VT under license number 055.0031529.

Where does Carlton L Kellogg, PA-C practice?

The practice location is 1 Commons St, Rutland, VT 05701-4652. The office can be reached at 802-747-1857 (phone) or 802-747-0129 (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 1861162299 directly on the NPPES registry website.

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