Individual
ROY KENT ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
212 E 8TH ST, BEAVER, OK 73932-3184
(580) 625-4551
Mailing address
3501 PASQUAL WAY, EDMOND, OK 73034-7439
(580) 916-5935
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
812
OK
363A00000X
Physician Assistant
PA02240
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100132370A
—
OK
05
—
343050601
—
TX
Enumeration date
02/26/2007
Last updated
07/22/2026
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