Individual
KIMBERLY ELLEN RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1000 1ST DR NW, AUSTIN, MN 55912-2941
(507) 433-7351
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1253
(360) 729-3185
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201910822NP-PP
OR
363LF0000X
Family Nurse Practitioner
AP60253433
WA
Other
Enumeration date
10/10/2011
Last updated
12/20/2024
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