Individual
KIMBERLY ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
575 CLANTON RD, CHARLOTTE, NC 28217-1327
(980) 585-3820
Mailing address
8620 SWANK PLACE, APT. 108, CHARLOTTE, NC 28216-3025
(716) 381-3920
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
305957
NY
164W00000X
Licensed Practical Nurse
Primary
82428
NC
Other
Enumeration date
12/15/2011
Last updated
04/12/2024
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