Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Jay Vogan Jr., CSNC

Individual provider Athletic Trainer · NPI 1114701034

Kenneth Jay Vogan Jr., CSNC is an Athletic Trainer in San Diego, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

3900 Lomaland Dr
San Diego, CA 92106-2810
Phone: (619) 849-2442
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1114701034
Entity typeIndividual (Type 1)
GenderMale
Credentials CSNC
Sole proprietorNo
NPI enumeratedAugust 22, 2023
Last updated in NPPESNovember 25, 2023
Certification dateNovember 25, 2023

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