Individual
DR. LEO F ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 FOUNTAIN CT STE 120, LEXINGTON, KY 40509-2695
(859) 629-7245
(859) 629-7246
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17364
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64173644
—
KY
Enumeration date
06/22/2005
Last updated
07/11/2019
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