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1417041898
ROBERT T KELLOGG
ALBUQUERQUE, NM
NPI
1417041898
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: NM 7148)
Enumeration Date
2006-10-03
Last Update Date
2008-07-16
Business Address
ROBERT T KELLOGG MD
1325 WYOMING BLVD NE PMG KASEMAN BEHAVIORAL MEDICINE
ALBUQUERQUE, NM 87112-5046
Phone number: 505-291-2536
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Mailing Address
ROBERT T KELLOGG MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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