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Individual

KAREN M ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2215 PORTLAND AVE, LOUISVILLE, KY 40212
(502) 774-8631
(502) 776-8912
Mailing address
PO BOX 950244, LOUISVILLE, KY 40295-0244
(502) 953-4700
(502) 772-8189

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3001618
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000179763
ANTHEM
KY
05
78009826
KY
Enumeration date
06/27/2005
Last updated
11/13/2019
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