Kellogg, Dylan Sean

Kellogg, Dylan Sean is an individual health care provider with primary practice located at 600 Roe Ave , Elmira NY 14905-1629. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kellogg, Dylan Sean can be contacted via phone (607) 737-4508.

Contact Information

Primary practice address
600 Roe Ave Elmira NY 14905-1629
Phone: (607) 737-4508
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X P28056 Maryland
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X D0080519 Maryland
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 282011-1 New York

Profile Details

NPI number 1730455767
LBN Legal business name Kellogg, Dylan Sean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2012
Last updated Oct 13th, 2016 - about 9 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 1730455767 NPPES
New York MEDICAID 04390736

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