Individual
KALEN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1921 STONECIPHER BLVD, ADA, OK 74820-1430
(580) 310-6465
Mailing address
1921 STONECIPHER BLVD, ADA, OK 74820-1430
(580) 310-6465
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
27253
OK
Other
Enumeration date
06/11/2009
Last updated
01/06/2015
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