OrganizationActive
Kellogg Medical PLLC
NPI 1528699089 · Addiction Medicine (Family Medicine) Physician · Charlotte, NC
Provider details
- NPI number
- 1528699089
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alan Goodstat, Coo(704) 288-1097
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
10352 Park Rd
Charlotte, NC 28210-8401
Phone: (704) 288-1097
Approximate (ZIP-level) locationGet directions
Mailing address
10352 Park Rd
Charlotte, NC 28210-8401
Registry dates
- Enumerated
- 2020-02-03
- Last updated
- 2023-11-27
- Certified
- 2020-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.