Individual
HALLE KOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
341 E HIDDEN GARDEN LN, SOUTH SALT LAKE, UT 84115-3648
(406) 396-0892
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8505126-4405
UT
Other
Enumeration date
12/27/2020
Last updated
12/27/2020
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