Individual
KATHERINE ELIZABETH BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4619 KANAWHA AVENUE SW, SOUTH CHARLESTON, WV 25309
(304) 400-4545
Mailing address
6 LOWER COACH RD, HURRICANE, WV 25526-8602
(304) 550-6897
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
01282
WV
Other
Enumeration date
05/01/2013
Last updated
05/28/2013
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