Individual provider · Type 1 NPI

Clark Kellogg

Anesthesiologist Assistant · Mansfield, OH

NPI number 1457098154 Active

Practice location

799 Lexington Ave
Mansfield, OH 44907-1906

Fax (419) 774-9707

Mailing address

5910 Bluestone Way
Lewis Center, OH 43035-7550

Specialties and licenses

TaxonomyCodeLicense
Anesthesiologist Assistant Primary 367H00000X32698321 (OH)

Anesthesiologist Assistant: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist …

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About NPI 1457098154

Clark Kellogg's National Provider Identifier is 1457098154, issued on May 16, 2022. The primary taxonomy on file is Anesthesiologist Assistant (367H00000X), and the practice location is in Mansfield, OH. The record was last updated on Jan 9, 2023.