Individual
NICOLE LEIGH ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2609 GLENN HENDREN DR, LIBERTY, MO 64068-3313
(816) 781-7730
Mailing address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2024015951
MO
207R00000X
Internal Medicine Physician
94-10431
KS
208000000X
Pediatrics Physician
2024015951
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2020
Last updated
06/14/2024
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