Individual
KATHLEEN KAREN HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
107 WESTOVER AVE, APT 206, NORFOLK, VA 23507-2309
(309) 912-2807
Mailing address
107 WESTOVER AVE, APT 206, NORFOLK, VA 23507-2309
(309) 912-2807
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002015
VA
Other
Enumeration date
01/24/2015
Last updated
01/24/2015
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