Kelli Bogue, AU.D

NPI 1154604064 · on the registry since 2011

Practice

Address: 2027 4th St
Jackson, MI 49203
Phone: (517) 888-5055
Fax: (517) 888-5052
Organisation at this address: Fourth Street Dental, Pllc
Community Hearing Center Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 231H00000X
231H00000X
Also registered as: 231HA2400X
231HA2500X
237600000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-05-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan