Individual
DR. KEVIN ROBERT KELLOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
72 S STATE ST, SHELBY, MI 49455-1228
(231) 861-3038
(231) 861-3082
Mailing address
512 S BEAR LAKE RD, NORTH MUSKEGON, MI 49445-2372
(231) 563-6580
(231) 563-6589
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
KK073336
MI
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
4301073336
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306101811
BCBS
MI
05
—
3510652
—
MI
Enumeration date
06/30/2006
Last updated
05/04/2021
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