Provider Demographics
NPI:1316741788
Name:BOGLE, TRINITY K
Entity type:Individual
Prefix:
First Name:TRINITY
Middle Name:K
Last Name:BOGLE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 UTAH RD
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:KS
Mailing Address - Zip Code:66033-9550
Mailing Address - Country:US
Mailing Address - Phone:785-304-2930
Mailing Address - Fax:785-304-2930
Practice Address - Street 1:1010 N KANSAS ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-3124
Practice Address - Country:US
Practice Address - Phone:316-293-2653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program