DR. MARY GRIFFIN KELLOGG MD IBCLC NPI 1073698528

NPI Information

NPI: 1073698528
Provider Name: DR. MARY GRIFFIN KELLOGG, MD, IBCLC
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
2505 MAIN ST
SUITE 223
STRATFORD, CT
ZIP 06615
Phone: (203) 375-5812
Get Directions

DR. Mary Griffin Kellogg, MD, IBCLC is a family medicine in Stratford, CT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Mary Griffin Kellogg, MD, IBCLC NPI is 1073698528. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2505 MAIN ST
SUITE 223
STRATFORD, CT
ZIP 06615-839
Phone: (203) 375-5812

The enumeration date for this NPI number is 10/25/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		035447	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G28148	MEDICARE UPIN	CONNECTICUT
2	001354472-02	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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