Individual
CHARLES DARREN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
6214 EMILY ST, ASHLAND, KY 41102-8385
(606) 923-5769
Mailing address
6214 EMILY ST, ASHLAND, KY 41102-8385
(606) 923-5769
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010942
KY
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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