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KEVIN KELLOGG MD PLC
NPI 1891883146
Specialist in North Muskegon, MI

Active since October 11, 2006
512 S BEAR LAKE RD, NORTH MUSKEGON, MI 49445(231) 563-6580 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 3, 2021, Jun 4, 2020 (2 updates tracked since 2020).

About Kevin Kellogg Md Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN KELLOGG MD PLC (NPI 1891883146) is a healthcare organization registered as a specialist in North Muskegon, Michigan and active in the NPI registry since October 2006. The organization lists Christina Liszewski, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1891883146
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKEVIN KELLOGG MD PLC
Location Address512 S BEAR LAKE RDNorth Muskegon, MI 49445-2372
Mailing Address512 S Bear Lake RdNorth Muskegon, MI 49445-2372 · (231) 563-6580
Phone(231) 563-6580
Organization SubpartNo
Authorized OfficialChristina LiszewskiOffice Manager · (231) 563-6580
Enumeration DateOctober 11, 2006
Last NPPES UpdateMay 3, 20212 updates tracked since enumeration
NPPES CertifiedMay 3, 2021
✔ NPI 1891883146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · 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.
512 S BEAR LAKE RD, North Muskegon, MI 49445
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Other Identifiers 1

Medicaid3510652MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Kellogg MD Plc's NPI number?

The NPI number for Kevin Kellogg MD Plc is 1891883146. It was assigned to this organization in the NPPES registry on October 11, 2006.

Where is Kevin Kellogg MD Plc located?

Kevin Kellogg MD Plc is located at 512 S Bear Lake Rd, North Muskegon, MI 49445. The listed phone number is (231) 563-6580.

What is Kevin Kellogg MD Plc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kevin Kellogg MD Plc was last updated on May 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.