Individual
KALA RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 PARK PLACE BLVD, KISSIMMEE, FL 34741-2344
(407) 846-0023
Mailing address
8236 VIA VERONA, ORLANDO, FL 32836-7700
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
9377129
FL
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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