Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clint W Kellogg, DO

Individual provider Ophthalmology Physician · NPI 1477998839

Clint W Kellogg, DO is an Ophthalmology in Columbia, Missouri. Qualified in 2012, 14 years ago. Practices with Retina Associates of Missouri PC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri and Texas.

Years since qualifying
14
Licensed in
MO, TX
In the registry since
2013
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3600 Amron Ct
Columbia, MO 65202
Phone: (573) 874-1616
Fax: (573) 875-0300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7031 Sw 62nd Ave, South Miami, FL 33143-4701 — (305) 284-7500

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X · Licence 2018010581 (MO)
Ophthalmology Physician Taxonomy 207W00000X · Licence Q9396 (TX)

Record details

NPI number1477998839
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 30, 2013
Last updated in NPPESMarch 18, 2021
Certification dateMarch 18, 2021
Mailing address3600 Amron Ct, Columbia, MO 65202-1918

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Retina Associates Of Missouri Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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