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

Kellogg Medical PLLC

Organization Addiction Medicine (Family Medicine) Physician · NPI 1528699089

Kellogg Medical PLLC is an Addiction Medicine (Family Medicine) Physician in Charlotte, North Carolina. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10352 Park Rd
Charlotte, NC 28210-8401
Phone: (704) 288-1097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X

Record details

NPI number1528699089
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan Goodstat — Coo · (704) 288-1097
NPI enumeratedFebruary 3, 2020
Last updated in NPPESNovember 27, 2023
Certification dateFebruary 26, 2020
Mailing address10352 Park Rd, Charlotte, NC 28210-8401

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