Individual
DR. KIMBERLY NATHALIA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5675 N FRONT ST STE 141, PHILADELPHIA, PA 19120-2719
(267) 428-6575
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(267) 428-6575
(305) 468-6269
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101255463
VA
207R00000X
Internal Medicine Physician
Primary
MD464812
PA
207R00000X
Internal Medicine Physician
MT300352
PA
Other
Enumeration date
06/21/2011
Last updated
03/20/2020
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