Kellogg, Lisa S

Kellogg, Lisa S is an individual health care provider with primary practice located at 1531 Hunt Club Blvd Ste 100 , Gallatin TN 37066-6096. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kellogg, Lisa S can be contacted via phone (615) 431-9930.

Contact Information

Primary practice address
1531 Hunt Club Blvd Ste 100 Gallatin TN 37066-6096
Phone: (615) 431-9930
Fax: (615) 431-9940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1755 Tennessee

Profile Details

NPI number 1720034127
LBN Legal business name Kellogg, Lisa S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Apr 3rd, 2023 - about 2 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 1720034127 NPPES
Other P00419528 RAILROAD MEDICARE
MEDICAID 33000032 RAILROAD MEDICARE
Other 33000031 RAILROAD MEDICARE

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