Individual
MISS KATHLEEN HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3195 SOUTH MAIN STREET, SUITE 200, SALT LAKE CITY, UT 84115-3749
(801) 468-0354
(801) 468-0353
Mailing address
3195 SOUTH MAIN STREET, SUITE 200, SALT LAKE CITY, UT 84115-3749
(801) 468-0354
(801) 468-0353
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1940794405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D4243
—
UT
Enumeration date
04/03/2006
Last updated
01/02/2008
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