Individual
KATHEY ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
(318) 424-6149
Mailing address
3423 BROADMOOR BLVD, SHREVEPORT, LA 71105-2025
(318) 869-0497
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN065425 AP03539
LA
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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