Individual provider · Type 1 NPI

Jennifer Lynne Kellogg, PA-C

Physician Assistant · Wyoming, MI

NPI number 1609930262 Active

Practice location

2221 Health Drive SW, Suite 2100
Wyoming, MI 49519-9606

Fax (616) 252-4480

Mailing address

5900 Byron Center Ave SW, Medical Administration
Wyoming, MI 49519-9606

Other practice locations

  • 1700 Tree Ln, Suite 200, Snellville, GA 30078 · (678) 904-7210
  • 1700 Tree Ln, Suite 200, Snellville, GA 30078 · (678) 904-7210

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X6324 (GA)
Physician Assistant Primary 363A00000X5601004257 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1609930262

Jennifer Lynne Kellogg, PA-C's National Provider Identifier is 1609930262, issued on Dec 20, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wyoming, MI. The record was last updated on Mar 4, 2022.