Individual
AMANDA BRIAN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
411 E CHESTNUT ST # STREET6, LOUISVILLE, KY 40202-1713
(502) 588-3650
Mailing address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2014019431
MO
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
TP248
KY
Other
Enumeration date
06/26/2014
Last updated
10/27/2020
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