IndividualActive
Carlton Kellogg, PA-C
NPI 1861162299 · Physician Assistant · Rutland, VT
Provider details
- NPI number
- 1861162299
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 055.0031529 (VT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1 Commons St
Rutland, VT 05701-4652
Phone: (802) 747-1857
Fax: (802) 747-0129
Approximate (ZIP-level) locationGet directions
Mailing address
2041 Russellville Rd
Shrewsbury, VT 05738-9444
Registry dates
- Enumerated
- 2021-09-16
- Last updated
- 2021-09-16
- Certified
- 2021-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.