Mckellar, Jon Gregory

Mckellar, Jon Gregory is an individual health care provider with primary practice located at 2218 Shallock Ave , Klamath Falls OR 97601-4290. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mckellar, Jon Gregory can be contacted via phone (541) 883-8134.

Contact Information

Primary practice address
2218 Shallock Ave Klamath Falls OR 97601-4290
Fax: (541) 883-1510
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD11585 Oregon

Profile Details

NPI number 1275521916
LBN Legal business name Mckellar, Jon Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated May 16th, 2019 - about 6 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 1275521916 NPPES
Oregon Other 1245228980 NPI

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