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

Kevin Bogue, NURSEPRACTITIONER

Individual provider Adult Health Nurse Practitioner · NPI 1124410303

Kevin Bogue, NURSEPRACTITIONER is an Adult Health Nurse Practitioner in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

1 Penn Plz 8th Fl
New York, NY 10119-0002
Phone: (646) 771-2206
Fax: (844) 290-6670
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 307208 (NY)

Record details

NPI number1124410303
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedFebruary 25, 2015
Last updated in NPPESFebruary 5, 2016

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