Individual
MS. KACY JO ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170
Mailing address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28180551A
IN
363L00000X
Nurse Practitioner
Primary
71008037A
IN
Other
Enumeration date
05/18/2018
Last updated
05/08/2024
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