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NPI Code Detail

MEDICARE: KELSEY ANNE VOGLER PA-C

MEDICARE: KELSEY ANNE VOGLER PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA11658TX

General Provider Information

NPI Number : 1780197327
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY ANNE VOGLER PA-C
Provider Business Mailing Address
First Line : PO BOX 840026
Second Line :
City : DALLAS
State : TX
Zip : 75284-0026
Country : US
Telephone Number : 806-212-6965
Fax Number : 806-212-6278
Provider Business Practice Location Address
First Line : 3501 S SONCY RD STE 150
Second Line :
City : AMARILLO
State : TX
Zip : 79119-6426
Country : US
Telephone Number : 806-212-6353
Fax Number : 806-212-0558
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2017
Last Update Date : 04/10/2018

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Directions to “ KELSEY ANNE VOGLER PA-C” Practice Location

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