Individual
CAROLYN D HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2679
(913) 789-3191
Mailing address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2679
(913) 789-3191
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1326075071
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
54225
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100326380B
—
KS
01
—
430018894
RR MEDICARE
KS
05
—
913857314
—
MO
Enumeration date
03/08/2006
Last updated
02/03/2014
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