Individual
KRYSTAL W ROGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E 3RD ST, CAMERON, MO 64429-1706
(816) 632-7979
Mailing address
2441 NW PRAIRIE VIEW RD, PLATTE CITY, MO 64079-7627
(816) 858-2522
(816) 858-2946
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2018024194
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578598041
GROUP NPI
—
Enumeration date
08/23/2018
Last updated
08/23/2018
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