Individual
KATHLEEN S ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2835 FORT MISSOULA ROAD, MISSOULA, MT 59804-7408
(406) 721-5600
(406) 721-3907
Mailing address
PO BOX 7609, MISSOULA, MT 59807-7609
(406) 721-5600
(406) 721-3907
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5347
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0057369
—
MT
Enumeration date
06/07/2006
Last updated
10/04/2011
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