Kellogg, Brian C

Kellogg, Brian C is an sole proprietor health care provider with primary practice located at 13535 Nemours Pkwy , Orlando FL 32827-7402. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Kellogg, Brian C can be contacted via phone (407) 567-4000.

Contact Information

Primary practice address
13535 Nemours Pkwy Orlando FL 32827-7402
Phone: (407) 567-4000
Fax: (407) 567-5924
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35128432 Ohio
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 35128432 Ohio
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X ME137032 Florida

Profile Details

NPI number 1386962561
LBN Legal business name Kellogg, Brian C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2010
Last updated Mar 18th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386962561 NPPES
Ohio MEDICAID 0222015
Ohio MEDICAID 100193900
Ohio Other H556010

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