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Individual
DR. KENNETH JOHN BOGENBERGER
Active
Individual
DR. KENNETH JOHN BOGENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
NULL
208600000X
Surgery Physician
MD19764
HI
2086S0129X
Vascular Surgery Physician
A176442
CA
2086S0129X
Vascular Surgery Physician
Primary
V6877
TX
Other
Enumeration date
06/08/2016
Last updated
10/28/2025
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