Kevin Robert Kellogg in Shelby - Specialist
Kevin Robert Kellogg - NPI 1457380941
Kevin Robert Kellogg is a Specialist in Shelby, Michigan. Kevin Robert Kellogg practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kevin Robert Kellogg is 1457380941. The last update date is 2021-05-04.
Kevin Robert Kellogg's current location address is 72 S State St, Shelby, Michigan. You can contact this provider via phone number 2318613038 and fax number 2318613082. The mailing address for Kevin Robert Kellogg is 72 S State St, Shelby, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Robert Kellogg |
|---|---|
| Address | 72 S State St, Shelby, Michigan |
| Phone Number | 2318613038 |
| Fax Number | 2318613082 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1457380941 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2021-05-04 |
Provider Mailing Address Detail
| Address | 72 S State St |
|---|---|
| City | Shelby |
| State | Michigan (MI) |
| Post Code | 4945512280 |
| Phone Number | 2318613038 |
| Fax Number | 2318613082 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | KK073336 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1306101811 | MI | BCBS | |
| 3510652 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kevin Robert Kellogg by the Centers for Medicare & Medicaid Services?
The Kevin Robert Kellogg has been issued the NPI (National Provider Identifier) 1457380941 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Kevin Robert Kellogg is located?
The Kevin Robert Kellogg is situated at the following address: 72 S State St, Shelby, MI, 4945512280.
What is Kevin Robert Kellogg's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kevin Robert Kellogg's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1457380941 to Kevin Robert Kellogg?
The Kevin Robert Kellogg received its 1457380941 assignment from the Centers for Medicare & Medicaid Services on 2006-06-30.
As of what date was the information regarding Kevin Robert Kellogg, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kevin Robert Kellogg, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-05-04.
NPI Number: 1063415297
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