Kellogg, Lori L

Kellogg, Lori L is an individual health care provider with primary practice located at 1535 Gull Rd Suite 250, Kalamazoo MI 49048-1650. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Kellogg, Lori L can be contacted via phone (269) 226-5927.

Contact Information

Primary practice address
1535 Gull Rd Suite 250 Kalamazoo MI 49048-1650
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 4704171421 Michigan

Profile Details

NPI number 1629185871
LBN Legal business name Kellogg, Lori L
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Sep 5th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629185871 NPPES
Michigan MEDICAID 1629185871

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