Kellogg, Kevin Robert

Kellogg, Kevin Robert is an sole proprietor health care provider with primary practice located at 72 S State St , Shelby MI 49455-1228. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Kellogg, Kevin Robert can be contacted via phone (231) 861-3038.

Contact Information

Primary practice address
72 S State St Shelby MI 49455-1228
Phone: (231) 861-3038
Fax: (231) 861-3082
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X KK073336 Michigan
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X 4301073336 Michigan

Profile Details

NPI number 1457380941
LBN Legal business name Kellogg, Kevin Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2006
Last updated May 4th, 2021 - about 5 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1457380941 NPPES
Michigan Other 1306101811 BCBS
Michigan MEDICAID 3510652 BCBS

Popular Providers