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

Dr. Kelli Lynn Bogue, AUD

Individual provider Audiologist · NPI 1154604064

Dr. Kelli Lynn Bogue, AUD is a Qualified Audiologist in Jackson, Michigan. Qualified in 2011, 15 years ago. Accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2011
Specialties on file
4
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.

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Practice location Address checks out

2027 4th St
Jackson, MI 49203-4572
Phone: (517) 888-5055
Fax: (517) 888-5052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 1601000599 (MI)
Assistive Technology Practitioner Audiologist Taxonomy 231HA2400X · Licence 1601000599 (MI)
Assistive Technology Supplier Audiologist Taxonomy 231HA2500X · Licence 1601000599 (MI)
Audiologist-Hearing Aid Fitter Taxonomy 237600000X · Licence 1601000599 (MI)

Record details

NPI number1154604064
Entity typeIndividual (Type 1)
GenderFemale
Credentials AUD
Sole proprietorNo
NPI enumeratedSeptember 27, 2011
Last updated in NPPESMay 2, 2017

Medicare enrollment

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

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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