Individual provider · Type 1 NPI

Kate Louise Russell-Bogan

Student in an Organized Health Care Education/Training Program · San Jose, CA

NPI number 1003676651 Active

Practice location

160 E Virginia St Ste 100
San Jose, CA 95112-5865

Call (084) 938-2113 Map

Fax (408) 579-6143

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003676651

Kate Louise Russell-Bogan's National Provider Identifier is 1003676651, issued on Mar 20, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Jose, CA. The record was last updated on Mar 20, 2024.