National Provider Identifier Database

CLARK KELLOGG
Anesthesiologist Assistant

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.


Contact Information

CLARK KELLOGG
799 LEXINGTON AVE
MANSFIELD, OH44907-1906
Phone: 419-756-5133
Fax: 419-774-9707
Website:
Specialty Taxonomy Code
* Anesthesiologist Assistant 367H00000X

* Indicates primary specialty

NPI Profile & details for CLARK KELLOGG

NPI Number 1457098154
Credentials
Entity Individual
Enumeration date 05/16/2022
Last updated 01/09/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • OH License #: 32698321
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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