Individual provider · Type 1 NPI
Jeffrey D. Kellogg, MD
Adult Medicine Physician · Shepherdstown, WV
NPI number
1861532350
Active
Practice location
45 Maddex Dr
Shepherdstown, WV 25443-4322
Fax (304) 876-1481
Mailing address
PO Box 1880
Shepherdstown, WV 25443-1880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | 15594 (WV) |
| Adult Medicine Physician Primary | 207QA0505X | 15594 (WV) |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 15594 (WV) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1861532350
Jeffrey D. Kellogg, MD's National Provider Identifier is 1861532350, issued on Feb 7, 2007. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Shepherdstown, WV. The record was last updated on May 15, 2013.