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Individual

KAREN H KOGON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2325 W FAIRBANKS AVE, WINTER PARK, FL 32789-4511
(407) 200-4776
Mailing address
2600 WESTHALL LN, MAITLAND, FL 32751-7102

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME151766
FL
208M00000X
Hospitalist Physician
041580
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000736722Q
GA
Enumeration date
06/15/2006
Last updated
08/30/2021
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