Individual
KATHLEEN MOGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 689-1901
(716) 689-2238
Mailing address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 689-1901
(716) 689-2238
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300747
NY
Other
Enumeration date
11/23/2005
Last updated
04/17/2008
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