Individual
KRISHNA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
663 ROOSEVELT ST, GARY, IN 46404-1311
(708) 985-6387
Mailing address
663 ROOSEVELT ST, GARY, IN 46404-1311
(708) 985-6387
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
BC21100079
IN
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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