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Individual

KIMBERLY R. BOGART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
2601 MIDWEST DR., KANSAS CITY, KS 66111
(913) 745-1930
(913) 745-1935
Mailing address
2601 MIDWEST DR., KANSAS CITY, KS 66111
(913) 745-1930
(913) 745-1935

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1124
OK

Other

Enumeration date
03/22/2006
Last updated
05/13/2011
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