Individual
MRS. SANDRA KENNEDY HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
599 TAMIAMI TRL N, NAPLES, FL 34102-5623
(239) 732-1133
(239) 732-1145
Mailing address
599 TAMIAMI TRL N, NAPLES, FL 34102-5623
(239) 732-1133
(239) 732-1145
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN411991
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN411991
STATE LISCENSE
FL
Enumeration date
03/26/2018
Last updated
03/26/2018
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