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Individual
MRS. KIMBERLE LYNNE HOGGE
Active
Individual
MRS. KIMBERLE LYNNE HOGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C05727
MD
363A00000X
Physician Assistant
PA0003586
CO
363A00000X
Physician Assistant
PA030787
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15223531
—
CO
01
—
23375
KAISER COMMERCIAL NUMBER
CO
Enumeration date
10/18/2011
Last updated
01/20/2016
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