Individual
DR. KENT A BOGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
17067 S OUTER RD, SUITE 100, BELTON, MO 64012-2165
(816) 331-4000
(816) 331-3626
Mailing address
17067 S OUTER RD, SUITE 100, BELTON, MO 64012-2165
(816) 331-4000
(816) 331-3626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO 103426
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100453640A
—
KS
05
—
100453640B
—
KS
05
—
1295720340
—
MO
05
—
248241317
—
MO
05
—
248241325
—
MO
Enumeration date
09/14/2005
Last updated
02/01/2022
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