Individual
DR. JESSICA LOUISE HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-2000
Mailing address
24350 W 55TH ST, SHAWNEE, KS 66226-2923
(913) 749-9477
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
94-07720
KS
2086S0129X
Vascular Surgery Physician
Primary
2018016917
MO
2086S0129X
Vascular Surgery Physician
59229
TN
Other
Enumeration date
06/15/2011
Last updated
01/13/2023
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