Individual
CARLA HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1595 ROAD W, NEOSHO RAPIDS, KS 66864-8701
(620) 757-9652
Mailing address
1595 ROAD W, NEOSHO RAPIDS, KS 66864-8701
(620) 757-9652
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-85533-081
KS
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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