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

Kevin Guggemos

Individual provider Physician Assistant · NPI 1578178919

Kevin Guggemos is a Physician Assistant in Grand Rapids, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2024, 2 years ago. Practices with Clio Urgent Care PLLC, a 10-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1490 E Beltline Ave SE
Grand Rapids, MI 49506-4336
Phone: (248) 672-6408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601012773 (MI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1578178919
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 12, 2020
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2024 (2 years in practice)
Group practice Clio Urgent Care Pllc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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