KELLE N. HOLGORSEN PA-C, MMS
NPI 1649341892
Family Medicine in Charlotte, NC

Active since November 10, 2006
4101 CENTRAL AVE, CHARLOTTE, NC 28205(704) 563-5007 Get Directions Write a Review

NPPES record last updated: June 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelle N. Holgorsen Pa-c, Mms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLE N. HOLGORSEN PA-C, MMS (NPI 1649341892) is an individual family medicine provider in Charlotte, North Carolina, licensed in North Carolina (102714) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1649341892
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKELLE N. HOLGORSENCredential: PA-C, MMS
Location Address4101 CENTRAL AVECharlotte, NC 28205-5611
Mailing Address4101 Central AveCharlotte, NC 28205-5611 · (704) 563-5007
Sole ProprietorNo
Enumeration DateNovember 10, 2006
Last NPPES UpdateJune 15, 2025
NPPES CertifiedJune 15, 2025
NPI 1649341892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 102714
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 1482 (CO)
4101 CENTRAL AVE, Charlotte, NC 28205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelle Holgorsen's NPI number?

The NPI number for Kelle Holgorsen is 1649341892. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Where is Kelle Holgorsen located?

Kelle Holgorsen practices at 4101 Central Ave, Charlotte, NC 28205. The listed phone number is (704) 563-5007.

What is Kelle Holgorsen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kelle Holgorsen was last updated on June 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.