Individual
KENNETH ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6100 PAN AMERICAN EAST FWY NE, 100, ALBUQUERQUE, NM 87109-3427
(505) 727-6200
(505) 727-9590
Mailing address
6100 PAN AMERICAN EAST FWY NE, 100, ALBUQUERQUE, NM 87109-3427
(505) 727-6200
(505) 727-9590
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
80242
NM
207R00000X
Internal Medicine Physician
Primary
80242
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00017236
—
NM
Enumeration date
09/15/2006
Last updated
08/12/2015
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