Kyle Fog
Student in an Organized Health Care Education/Training Program · Walled Lake, MI
Kyle Fog is a student in an organized health care education/training program with a practice address in Walled Lake, Michigan, and NPI 1013364777, issued on May 23, 2016. Check the license (Michigan 5302041191, as entered in NPPES) with the Michigan board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kyle Fog
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program 390200000X
- License number
- 5302041191 MI
Self-reported in NPPES; status is on the state search - Practice location
- 620 N Pontiac Trl, Walled Lake, MI 48390
- Phone
- (248) 669-2776
- Enumerated
- May 23, 2016
- Record last updated
- May 23, 2016 (not updated in 10 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
8 nearest student in an organized health care education/training program records → All 8,265 in Michigan → Look up another NPI →
Also registered at 620 N Pontiac Trl
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Carl HendricksPharmacist1174651442
- Karen HendricksPharmacist1386772648
- Kerri HerrinPharmacy Technician1063881118
- Linda Ho, CPHTPharmacy Technician1699144584
- Gary Hollander, DOInternal Medicine Physician1902896749
Verify Kyle Fog in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Michigan board licenses this profession
Search for license 5302041191Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Kyle Fog among 8,265 student in an organized health care education/training program records in Michigan
Kyle Fog is one of 8,265 student in an organized health care education/training program records with a practice address in Michigan. 34% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2016, is newer than 6% of them.
- NPI issued2016 · 6% of these records are older, 92% newer
- In a Medicare fileNo · 34% of these records are
- In the CMS Doctors and Clinicians fileNo · 3% of these records are
- Record last updated2016 · 18% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 390200000X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
3 student in an organized health care education/training program records list a practice address in Walled Lake
They are 3 of the 174 NPPES records with a practice address in Walled Lake, and 8,265 student in an organized health care education/training program records in Michigan. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 8,265 in Michigan → Every provider in Walled Lake → Student in an Organized Health Care Education/Training Program nationwide →
The 8 student in an organized health care education/training program records with the nearest ZIP codes
- Arin AminWolverine Lake, MI 483901477246759
- Jeannee HillWolverine Lake, MI 483901184554388
- Gabriela JammoaCommerce Township, MI 483901669243572
- Katelyn KhemmoroWalled Lake, MI 483901558232454
- Edmond KirouacWalled Lake, MI 483901679407753
- Hakam AlsukhonWixom, MI 483931922801604
- Mikaela Grudzien, MDWhite Lake, MI 483861619767456
- Ally CarlsonWhite Lake, MI 483831043101546
Common questions
What is Kyle Fog's NPI number?
Kyle Fog's National Provider Identifier (NPI) is 1013364777, issued on May 23, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Kyle Fog located?
The NPPES record lists a practice address at 620 N Pontiac Trl, Walled Lake, MI, 48390. Phone: (248) 669-2776. Providers update this record themselves, so call before visiting.
How can I verify Kyle Fog's license?
NPPES lists Michigan license number 5302041191, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.