Individual
KELLY ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
535 MAIN ST, OLEAN, NY 14760-1500
(716) 376-2282
Mailing address
535 MAIN ST STE 1, OLEAN, NY 14760-1593
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC007237
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2019
Last updated
07/24/2022
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