Hogan, Kimberly

Hogan, Kimberly is an individual health care provider with primary practice located at 13813 Metro Pkwy , Fort Myers FL 33912-4343. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Hogan, Kimberly can be contacted via phone (239) 936-1343.

Contact Information

Primary practice address
13813 Metro Pkwy Fort Myers FL 33912-4343
Phone: (239) 936-1343
Fax: (239) 936-8507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP3132002 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X ARNP3132002 Florida

Profile Details

NPI number 1912310509
LBN Legal business name Hogan, Kimberly
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2014
Last updated Dec 5th, 2016 - about 8 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 1912310509 NPPES
Florida MEDICAID 016227400
Florida Other Y0N4V

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