Kelle N Holgorsen, PA-C, MMS is a
Family Medicine based in Charlotte, North Carolina. Kelle N Holgorsen is licensed to practice in North Carolina (license number 102714) and her current practice location is
4101 Central Ave, Charlotte, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(704) 563-5007.
NPI number for Kelle N Holgorsen is 1649341892 and her current mailing address is 4101 Central Ave, Charlotte, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649341892.
Provider's Profile
| Full Name | Kelle N Holgorsen |
|---|
| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 4101 Central Ave, Charlotte, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649341892
- Provider Enumeration Date: 11/10/2006
- Last Update Date: 06/15/2025
Medical Identifiers
Medical identifiers for Kelle N Holgorsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1649341892 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | 1482 (Colorado) | Secondary |
| 207Q00000X | Family Medicine | 102714 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelle N Holgorsen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kelle N Holgorsen, PA-C, MMS 4101 Central Ave, Charlotte, NC 28205-5611 Ph: (704) 563-5007 | Kelle N Holgorsen, PA-C, MMS 4101 Central Ave, Charlotte, NC 28205-5611 Ph: (704) 563-5007 |
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