Individual
LORI L KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1535 GULL RD, SUITE 250, KALAMAZOO, MI 49048-1650
(269) 226-5927
Mailing address
5943 STADIUM DR, SUITE 3, KALAMAZOO, MI 49009-3016
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704171421
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629185871
—
MI
Enumeration date
08/24/2006
Last updated
09/05/2023
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