IndividualActive
Mary Kellogg, MD, IBCLC
NPI 1073698528 · Family Medicine Physician · Stratford, CT
Provider details
- NPI number
- 1073698528
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, IBCLC
- Sex
- Female
- Sole proprietor
- No
- License
- 035447 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2505 Main St
Suite 223
Stratford, CT 06615-5839
Phone: (203) 375-5812
Street-level locationGet directions
Mailing address
540 Barn Hill Rd
Monroe, CT 06468-1419
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.