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Individual

MARTHA A BOGART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANCP

Contact information

Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-1225
(816) 404-1233
Mailing address
2310 HOLMES ST, SUITE 800, KANSAS CITY, MO 64108-2602
(816) 218-2500
(816) 421-7379

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
105999
MO

Other

Enumeration date
02/17/2006
Last updated
07/29/2011
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