Organization
JOHN DAVID ROGERS
Active
Other names
Kinetic Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ROGERS (OWNER)
(304) 926-0870
Entity
Organization
Contact information
Practice address
1014 HONEYBEE DRIVE, FAIRMONT, WV 26554
(304) 363-7424
(304) 363-9255
Mailing address
PO BOX 638, RIPLEY, WV 25271-0638
(304) 363-7424
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2803907
—
OH
05
—
3810010234
—
WV
05
—
7100027700
—
KY
Enumeration date
10/10/2007
Last updated
08/18/2014
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