National Provider Identifier
Dylan Sean Kellogg, MD
Dylan Sean Kellogg, MD is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Elmira, NY and a listed phone number of (607) 737-4508.
Profile Overview
- NPI
- 1730455767
- Provider Type
- Individual
- Primary Specialty
- Emergency Medicine Physician
- Enumeration Date
- March 23, 2012
- Last Updated
- October 13, 2016
Practice Location
- 600 Roe Ave
- Elmira, NY 14905-1629
Phone: (607) 737-4508
Mailing Address
- 571 Saint Josephs Blvd
- 2Nd Floor
- Elmira, NY 14901-3230
Specialties
- Emergency Medicine Physician (207P00000X)
- Emergency Medicine Physician (207P00000X)
Full Record
- NPI
- 1730455767
- Entity Type
- Individual
- Last Name
- Kellogg
- First Name
- Dylan
- Middle Name
- Sean
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 571 Saint Josephs Blvd
- Mailing Address Line 2
- 2Nd Floor
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Practice Street Address
- 600 Roe Ave
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1629
- Practice Country
- US
- Practice Phone
- (607) 737-4508
- Enumeration Date
- March 23, 2012
- Last Updated
- October 13, 2016
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Emergency Medicine Physician (207P00000X), Emergency Medicine Physician (207P00000X)
- Other Identifiers
- 04390736 (NY)