Doctor Name: | MS. KATHLEEN VOGELSANG |
NPI Number: | 1851599062 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 362570 |
Business Practice Address: | 1733 Central Ave Mckinleyville, CA - 955193601 |
Business Phone Number: | 7078394852 |
Business Fax Number: | 7078392439 |
Mailing Address: | 1733 Central Ave, MCKINLEYVILLE |
State: | CA |
Postal Code: | 955193601 |
Phone Number: | 7078394852 |
Fax Number: | 7078392439 |
NPI Enumeration Date: | 07/10/2007 |
NPI Last Update Date: | 07/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 362570 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |