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Individual

KELLY ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
301 2ND ST NE, NEW PRAGUE, MN 56071-1709
(952) 758-4431
(763) 450-3986
Mailing address
301 2ND ST NE, NEW PRAGUE, MN 56071-1709
(952) 758-4431
(612) 488-2248

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2517
MN

Other

Enumeration date
09/16/2020
Last updated
04/28/2026
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