Individual
ROBERT T ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
225 ABRAHAM FLEXNER WAY, SUITE 305, LOUISVILLE, KY 40202-1846
(502) 585-4321
(502) 587-8306
Mailing address
6801 DIXIE HWY, STE 130, LOUISVILLE, KY 40258-3913
(502) 585-4321
(502) 587-8306
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3003766
KY
363LA2100X
Acute Care Nurse Practitioner
71001726A
IN
363LA2100X
Acute Care Nurse Practitioner
99008560A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200470800
—
IN
01
—
500025250
RAILROAD MEDICARE
KY
01
—
500025402
RAILROAD MEDICARE
KY
05
—
78007721
—
KY
Enumeration date
10/07/2005
Last updated
01/11/2011
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