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

Kelly Marie Herzog

Individual provider Peer Specialist · NPI 1073226890

Kelly Marie Herzog is a Peer Specialist in Coos Bay, Oregon. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

155 S Empire Blvd
Coos Bay, OR 97420-3374
Phone: (541) 756-3111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1073226890
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 27, 2022
Last updated in NPPESDecember 27, 2022
Certification dateDecember 27, 2022

Other providers in Coos Bay