Individual
KENNETH JAY VOGAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSNC
Contact information
Practice address
3900 LOMALAND DR, SAN DIEGO, CA 92106-2810
(619) 849-2442
Mailing address
3900 LOMALAND DR, SAN DIEGO, CA 92106-2810
(619) 577-0697
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
11/25/2023
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