Kellogg Medical Pllc

LBN: Kellogg Medical Pllc
Kellogg Medical Pllc is an health care organization with primary practice located at 10352 Park Rd , Charlotte NC 28210-8401. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as the primary health care specialty. Kellogg Medical Pllc can be contacted via phone (704) 288-1097, or through Goodstat, Alan via phone (704) 288-1097.

Contact Information

Primary practice address
10352 Park Rd Charlotte NC 28210-8401
Phone: (704) 288-1097
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Goodstat, Alan Licensed Clinical Social Worker (LCSW)
Phone: (704) 288-1097

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X

Profile Details

NPI number 1528699089
LBN Legal business name Kellogg Medical Pllc
DBA Doing business as
Authorized official Goodstat, Alan Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2020
Last updated Nov 27th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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