Individual
COREY A ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
7550 WEST VILLAGE CIRCLE, SUITE 1, WICHITA, KS 67205
(316) 838-2020
(316) 838-7574
Mailing address
7550 WEST VILLAGE CIRCLE, SUITE 1, WICHITA, KS 67205
(316) 838-2020
(316) 838-7574
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00753
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100372330B
—
KS
Enumeration date
01/19/2006
Last updated
11/19/2009
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