Individual
KEVIN RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2360 VANDENBERG DR, USAF ACADEMY, CO 80841-7901
(970) 372-8906
Mailing address
PO BOX 5359, USAF ACADEMY, CO 80841-5359
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
5881-3350-2066
CO
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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