DLK Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DLK MEDICINE LLC

Practice address

4457 S Farm Road 145
Springfield, MO 65810-1414

Phone

(417) 830-4701

Fax

(855) 807-2451

NPI assigned

Sep 3, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deatrice Kellogg, MD

Title

Owner/Provider

Phone

(417) 803-4701

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1508775792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4457 S FARM ROAD 145",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658101414",
            "telephone_number": "417-830-4701",
            "fax_number": "855-807-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4457 S FARM ROAD 145",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658101414",
            "telephone_number": "417-830-4701",
            "fax_number": "855-807-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLK MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "KELLOGG",
        "authorized_official_first_name": "DEATRICE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "417-803-4701",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Marie Divine
• Tarrah Divine, FNP
• Anthony R Divito, MD
• Patricia Mary Dix, M.D.
• Staci E Dixon, DO
• Rhonda Sue Dlouhy
• Dennis P. Dobard Jr., M.D.
• Derylin Zoe Dobyns, OTR
• Ervin W Dock, BC-HIS
• John Dock, MSCCCA-A

• All providers in Springfield, MO
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.