Kevin Kellogg Md Plc

LBN: Kevin Kellogg Md Plc
Kevin Kellogg Md Plc is an health care organization with primary practice located at 512 S Bear Lake Rd , North Muskegon MI 49445-2372. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Kevin Kellogg Md Plc can be contacted via phone (231) 563-6580, or through Liszewski, Christina via phone (231) 563-6580.

Contact Information

Primary practice address
512 S Bear Lake Rd North Muskegon MI 49445-2372
Phone: (231) 563-6580
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Liszewski, Christina
Phone: (231) 563-6580

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X KK073336 Michigan

Profile Details

NPI number 1891883146
LBN Legal business name Kevin Kellogg Md Plc
DBA Doing business as
Authorized official Liszewski, Christina
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2006
Last updated May 3rd, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891883146 NPPES
Michigan MEDICAID 3510652

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