ALEXANDRA KELLOGG D.C. NPI 1619278819

NPI Information

NPI: 1619278819
Provider Name: ALEXANDRA KELLOGG, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
238 W MAIN ST
WINNECONNE, WI
ZIP 54986
Phone: (920) 706-0178
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Alexandra Kellogg, D.C. is a chiropractor in Winneconne, WI with 14 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. Alexandra Kellogg, D.C. NPI is 1619278819. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LOGAN COLLEGE OF CHIROPRACTIC
Graduation Year:2010

The provider's business location address is:

238 W MAIN ST
WINNECONNE, WI
ZIP 54986
Phone: (920) 706-0178
Fax: (920) 703-0179

The enumeration date for this NPI number is 11/4/2010 and was last updated on 9/26/2014.

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	111N00000X	Chiropractor		4667-012	WISCONSIN	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	4667-012	OTHER	WISCONSIN	STATE OF WISCONSIN

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: 5/5/2024

NPI Synchronization or Removal

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