Individual
KENDRIA E. HOLT-ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 LAPALCO BLVD, GRETNA, LA 70056-7336
(504) 393-4376
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(504) 393-4376
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
204882
LA
207R00000X
Internal Medicine Physician
20682
MS
207R00000X
Internal Medicine Physician
Primary
MD.204882
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09972039
—
MS
05
—
2162136
—
LA
Enumeration date
05/24/2007
Last updated
03/20/2020
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