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NPI Code Detail

MEDICARE: MAKENZIE LYNNE KELLOGG

MEDICARE: MAKENZIE LYNNE KELLOGG
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1134070220
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAKENZIE LYNNE KELLOGG
Provider Business Mailing Address
First Line : 2233 ROCKY LN
Second Line :
City : ASHLAND
State : OH
Zip : 44805-4701
Country : US
Telephone Number : 419-281-3716
Fax Number : 419-281-4605
Provider Business Practice Location Address
First Line : 2233 ROCKY LN
Second Line :
City : ASHLAND
State : OH
Zip : 44805-4701
Country : US
Telephone Number : 419-281-3716
Fax Number : 419-281-4605
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “ MAKENZIE LYNNE KELLOGG ” Practice Location

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