DR. KEVIN ROBERT KELLOGG (NPI# 1457380941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457380941 |
| Entity Type | Individual |
| Full Name | DR. KEVIN ROBERT KELLOGG |
| Credential | MD |
| Practice Address |
433 Seminole Rd Ste 205 Norton Shores MI 49444-3743 |
| Practice Telephone | 2315636580 |
| Practice Fax Number | 2315636589 |
| Mailing Telephone | 2315636580 |
| Mailing Fax Number | 2315636589 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-06-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | KK073336 | MI | Other Service Providers |
| Y | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
4301073336 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 1306101811 | 01 |
| MI | 3510652 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003899493 | Kevin Ryan Kellogg | Physician Assistant | 16528 Desmet Ct, Spokane Valley, WA 99216-3522 | 2005-11-21 |
| Street Address |
433 SEMINOLE RD STE 205 |
| City | NORTON SHORES |
| State | MI |
| Zip Code | 49444-3743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891883146 | Kevin Kellogg Md Plc | Specialist | 433 Seminole Rd Ste 205, Norton Shores, MI 49444-3743 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084349 | Cathy Forrest, Ma, LLP Plc | Psychologist | 255 Seminole Road, Suite-205, Muskegon, MI 49444 | 2018-12-16 |
| 1831687276 | Sarah J Weiden | Massage Therapist | 1040 E Sternberg Rd, Muskegon, MI 49444 | 2018-04-30 |
| 1184131500 | Hatem M Gelani Sr. | Dentist | 1725 E Sherman Blvd, Muskegon, MI 49444 | 2018-01-08 |
| 1497123673 | Rite Aid | Pharmacist | 2213 E Hile Road, Muskegon, MI 49444 | 2015-09-04 |
| 1689077075 | Rosa Carpenter-parker | Counselor | 445 East Sherman, Muskegon, MI 49444 | 2014-09-30 |
| 1417373036 | Smile Center Pllc | Dentist | 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 | 2014-03-06 |
| 1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
| 1972847135 | Kristen Haugh | Physical Therapist | 5251 Harvey St Ste 100, Norton Shores, MI 49444 | 2012-11-12 |
| 1912261694 | Brandon D Freel | Obstetrics & Gynecology | 6401 Prairie St Ste 2100, Norton Shores, MI 49444 | 2012-06-27 |
| 1437434487 | Amy Stegall | Pharmacist | 1171 E Sherman, Norton Shores, MI 49444 | 2011-10-20 |
| Find all providers in zip 49444 | ||||
| Taxonomy Code | 2084S0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Sleep Medicine |
| A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447327580 | Advanced Sleep Disorder Center LLC | Psychiatry & Neurology | 5815 Bay Rd, Suite 600, Saginaw, MI 48604-2542 | 2006-11-30 |
| 1174618375 | R Bart Sangal | Psychiatry & Neurology | 44344 Dequindre Rd Ste 360, Sterling Heights, MI 48314-1041 | 2006-10-04 |
| 1831722560 | Rose Neurology, PC | Psychiatry & Neurology | 5141 Oakman Blvd, Dearborn, MI 48126-3763 | 2020-02-21 |
| 1699224089 | Spectrum Health Primary Care Partners | Psychiatry & Neurology | 5 N Atkinson Dr, Ludington, MI 49431-2918 | 2016-09-26 |
| 1033416474 | Spectrum Health Primary Care Partners | Psychiatry & Neurology | 418 Washington St, Lakeview, MI 48850-9806 | 2011-02-22 |
| 1003137274 | Family Medicine and Sleep Specialist PC | Psychiatry & Neurology | 11670 Martin Rd, Warren, MI 48093-4511 | 2010-06-22 |
| 1750513099 | Justin K Liegmann | Psychiatry & Neurology | 8435 Holly Rd, Grand Blanc, MI 48439-1812 | 2009-08-20 |
| 1477794659 | Dr. James Weintraub, Pllc | Psychiatry & Neurology | 52188 Van Dyke Ave, Suite 212, Shelby Township, MI 48316-3567 | 2009-03-17 |
| 1356500409 | Daniel Douglas Herrick | Psychiatry & Neurology | 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 | 2008-06-04 |
| 1326211715 | Clinical Neurophysiology Services, PC | Psychiatry & Neurology | 44344 Dequindre Rd Ste 360, Sterling Heights, MI 48314-1041 | 2008-04-08 |
| Find all providers with the same taxonomy | ||||
| City | NORTON SHORES |
| Zip Code | 49444 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.