Kellogg, Karen Sue

Kellogg, Karen Sue is an individual health care provider with primary practice located at 2640 W Market St Suite 301, Fairlawn OH 44333-4202. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Kellogg, Karen Sue can be contacted via phone (330) 864-8501.

Contact Information

Primary practice address
2640 W Market St Suite 301 Fairlawn OH 44333-4202
Phone: (330) 864-8501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 36003216 Ohio

Profile Details

NPI number 1316907025
LBN Legal business name Kellogg, Karen Sue
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated May 8th, 2014 - about 12 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 1316907025 NPPES
Ohio MEDICAID 2317853

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