Kathryn Kellogg

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101003126 Issued in MI

Practice address

8469 S Saginaw St
Grand Blanc, MI 48439-2069

Phone

(810) 730-4110

NPI assigned

Dec 30, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1689213373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 CRANES CV",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191368",
            "telephone_number": "810-780-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8469 S SAGINAW ST",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392069",
            "telephone_number": "810-730-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "KATHRYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101003126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Sokol Keel, D.O.
• Matthew Thomas Keely, RN
• Elissa Keller
• Teresa Lynn Keller, PTA
• Kellogg Speech Language Learning Services
• Kristin Marie Kelly, PT
• Theresa Waurzyniak Kelly, LMSW
• Veronica Kelly, M.A.
• Nicole Kemp
• Anne Elise Kender, DPT

• Speech-Language Pathologist in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.