Hogan, Kathleen
Hogan, Kathleen is an individual health care provider with primary practice located at 3195 South Main Street Suite 200, Salt Lake City UT 84115-3749. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hogan, Kathleen can be contacted via phone (801) 468-0354.Contact Information
Primary practice address
3195 South Main Street Suite 200
Salt Lake City UT 84115-3749
Phone: (801) 468-0354
Fax: (801) 468-0353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1940794405 | Utah |
Profile Details
| NPI number | 1215999578 |
|---|---|
| LBN Legal business name | Hogan, Kathleen |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Jan 2nd, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215999578 | NPPES |
| Utah | MEDICAID | D4243 |
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