Individual
KENNETH G. BOGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5425 MCWILLIAMS, SAN ANTONIO, TX 78257
(210) 295-8336
Mailing address
5425 MCWILLIAMS, SAN ANTONIO, TX 78257
(210) 295-8336
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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