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General NPI Number Information
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NPI Number | 1417927831
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Entity Type | Individual
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Provider Name | ROBERT MICHAEL KELLOGG PT PH.D
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Gender | Male
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | U.S. NAVAL HOSPITAL ROTA SPAIN PSC 819 BOX 18
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City | ROTA
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State | CADIZ
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Zip | FPO AE 09645
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Country | ES
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Telephone | 34956823500
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Fax | 34956823306
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Provider Business Mailing Address
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Address Line | U.S. NAVAL HOSPITAL ROTA SPAIN PSC 819 BOX 18
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City | ROTA
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State | CADIZ
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Zip | FPO AE 09645
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Country | ES
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Telephone | 34956823500
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Fax | 34956823306
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 12440
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2251E1300X
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Taxonomy Name | Clinical Electrophysiology Physical Therapist
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License Number | 00025
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License Number State | CA
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