Hogan, Carolyn D

Hogan, Carolyn D is an individual health care provider with primary practice located at 9100 W 74Th St , Shawnee Mission KS 66204-4004. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Hogan, Carolyn D can be contacted via phone (913) 676-2679.

Contact Information

Primary practice address
9100 W 74Th St Shawnee Mission KS 66204-4004
Phone: (913) 676-2679
Fax: (913) 789-3191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1326075071 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 54225 Kansas

Profile Details

NPI number 1134196173
LBN Legal business name Hogan, Carolyn D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Feb 3rd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134196173 NPPES
Kansas Other 430018894 RR MEDICARE
Kansas MEDICAID 913857314 RR MEDICARE
Kansas MEDICAID 100326380B RR MEDICARE

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