MEDICARE: DOUGLAS GEORGE KELLING JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	19495	NC
2	207R00000X	Internal Medicine Physician	19495	NC

General Provider Information

NPI Number	:	1396717708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUGLAS GEORGE KELLING JR. MD

Provider Business Mailing Address
First Line	:	PO BOX 19305
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28219-9305
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 MEDICAL PARK DR
Second Line	:	STE 550
City	:	CONCORD
State	:	NC
Zip	:	28025-2982
Country	:	US
Telephone Number	:	704-403-1307
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	07/15/2024

Similar Medicare Providers

1851385934 — DR. FRANK E LONG MD
Practice Location Address:

200 MEDICAL PARK DR , SUITE 250 CABARRUS OB/GYN
CONCORD, NC
28025-2982

Practice Phone: 704-403-2740
Practice Fax: 704-403-2744

1134190283 — ARADHANA GUPTA MD
Practice Location Address:

200 MEDICAL PARK DR , STE 300
CONCORD, NC
28025-2982

Practice Phone: 704-403-3676
Practice Fax:

1073584843 — ALLAN KRUSELL MD
Practice Location Address:

200 MEDICAL PARK DR , STE 280
CONCORD, NC
28025-2982

Practice Phone: 704-403-1766
Practice Fax:

1922070184 — GEOFFREY DAVID RACKOFF MD
Practice Location Address:

200 MEDICAL PARK DR , STE 300
CONCORD, NC
28025-2982

Practice Phone: 704-403-3676
Practice Fax:

1114999539 — DAVID WILLIS MCMURRY MD
Practice Location Address:

200 MEDICAL PARK DR , STE 300
CONCORD, NC
28025-2982

Practice Phone: 704-403-3676
Practice Fax:

1407828056 — JAMES E. WHELESS MD
Practice Location Address:

200 MEDICAL PARK DR , STE 300
CONCORD, NC
28025-2982

Practice Phone: 704-403-3676
Practice Fax:

Directions to “ DOUGLAS GEORGE KELLING JR. MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.