SearchIllinois1223G0001X

Ronald Kellough, D.M.D

NPI 1740350636 · on the registry since 2006

Practice

Address
702 Church Street
Germantown, IL 62245
Phone
(618) 523-4251
Fax
(618) 523-7206

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois