Individual
RAEGAN KENDALL COGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1263 S GEORGE ST, CHARLES TOWN, WV 25414-4384
(443) 383-9300
Mailing address
160 BOONE HILL RD, CRAIGSVILLE, WV 26205-8876
(304) 488-8642
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
106099
WV
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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