Individual
MS. KATHLEEN T. OGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
1509 RITCHIE HWY, ARNOLD, MD 21012-2742
(410) 757-7600
(410) 626-8043
Mailing address
1111 BENFIELD BLVD, SUITE 200, MILLERSVILLE, MD 21108-3002
(410) 729-5100
(410) 729-5156
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R056115
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076400100
—
MD
01
—
120234
JHHC PROVIDER NUMBER
MD
01
—
1995999
AETNA HMO
MD
01
—
500005909
RAILROAD MEDICARE
MD
01
—
545311-01
CAREFIRST MD RENDERING
MD
01
—
7560021
AETNA PPO
MD
01
—
7605-0022
CAREFIRST BLUECHOICE
MD
Enumeration date
08/15/2005
Last updated
01/24/2011
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