MEDICARE: KATHLEEN JUNE HOGANCAMP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	372600000X	Adult Companion
2	3747P1801X	Personal Care Attendant
3	372500000X	Chore Provider

General Provider Information

NPI Number	:	1922939917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN JUNE HOGANCAMP

Provider Business Mailing Address
First Line	:	4800 SOUTHERN HILLS DR APT 212
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51106-1243
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4800 SOUTHERN HILLS DR APT 212
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51106-1243
Country	:	US
Telephone Number	:	712-899-3477
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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