Individual
KIMBERLY N BOGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1609 W 3RD AVE, WILLIAMSON, WV 25661-3006
(304) 235-0026
(304) 235-0028
Mailing address
1609 W 3RD AVE, WILLIAMSON, WV 25661-3006
(304) 235-0026
(304) 235-0028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009592
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1107444
RN
KY
01
—
3009592
APRN
KY
01
—
94824
APRN/RN
WV
Enumeration date
08/08/2015
Last updated
10/09/2018
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