Individual
KAITLYN ELDRIDGE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5151 HIGH ST, OOLTEWAH, TN 37363-6873
(423) 443-8569
Mailing address
5151 HIGH ST, OOLTEWAH, TN 37363-6873
(423) 443-8569
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
30666
TN
Other
Enumeration date
10/30/2021
Last updated
11/12/2021
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