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KELLOGG MEDICAL PLLC NPI 1528699089


NPI Information

NPI: 1528699089
Provider Name: KELLOGG MEDICAL PLLC
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
10352 PARK RD
CHARLOTTE, NC
ZIP 28210
Phone: (704) 288-1097
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KELLOGG MEDICAL PLLC is an addiction medicine family medicine in Charlotte, NC. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. KELLOGG MEDICAL PLLC NPI is 1528699089. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10352 PARK RD
CHARLOTTE, NC
ZIP 28210-401
Phone: (704) 288-1097

The provider's authorized official is Alan Goodstat .
The authorized official title is Coo and has the following contact phone number (704) 288-1097.

The enumeration date for this NPI number is 2/3/2020 and was last updated on 11/27/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0401XFamily MedicineAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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