Individual
NIKKI A VOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
19550 E 39TH ST S, STE 410, INDEPENDENCE, MO 64057-2358
(816) 303-2400
(816) 303-2484
Mailing address
19550 E 39TH ST S STE 410, INDEPENDENCE, MO 64057-2307
(816) 303-2400
(816) 303-2484
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01393
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-01393
STATE LICENSE
KS
01
—
2016026105
MISSOURI LICENSE
MO
Enumeration date
09/01/2010
Last updated
04/04/2018
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