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NPI Code Detail

MEDICARE: ALLISON KELLOGG FNP-C

MEDICARE:   ALLISON  KELLOGG  FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN.CNP.0029652OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417629924
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON KELLOGG FNP-C
Provider Business Mailing Address
First Line : 680 BUCKLES CT N STE 100
Second Line :
City : COLUMBUS
State : OH
Zip : 43230-6927
Country : US
Telephone Number : 614-986-0125
Fax Number : 614-237-1646
Provider Business Practice Location Address
First Line : 680 BUCKLES CT N STE 100
Second Line :
City : COLUMBUS
State : OH
Zip : 43230-6927
Country : US
Telephone Number : 614-986-0125
Fax Number : 614-237-1646
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2021
Last Update Date : 04/14/2026

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Directions to “ ALLISON KELLOGG FNP-C” Practice Location

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