Individual
KELLY MARIE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 PATIENTS FIRST DR STE 2000, WASHINGTON, MO 63090-4700
(636) 390-1684
Mailing address
2352 BROOKVIEW DR, WASHINGTON, MO 63090-5110
(314) 749-3642
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019021309
MO
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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