Individual ProviderPatricia Deal KelloggInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1201 Seven Locks Rd, Ste 111, Rockville, MD 20854-2957(301) 762-5020PECOS EnrollmentBased on the most recent information from CMS, provider Patricia Deal Kellogg does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1235134701Provider TypeIndividualFull NameKellogg, Patricia DealTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date6/20/2005Last Updated5/16/2012Contact InformationPractice LocationPractice Address1201 Seven Locks Rd, Ste 111, Rockville, MD 20854-2957Phone(301) 762-5020Fax(301) 294-7569Mailing LocationMailing AddressPO Box 79632, Baltimore, MD 21279-0632Phone(301) 762-5020Fax(301) 309-3783Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseD0021392MarylandProvider IdentifiersIDDescriptionIssuerID415096100DescriptionMedicaidIssuerUnlistedMaryland