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Individual

KATHERINE W. ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
3 AUDUBON PLAZA DR STE 560, LOUISVILLE, KY 40217-1376
(502) 636-8004
(502) 636-8384
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5100
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3005078
KY
363L00000X
Nurse Practitioner
5078P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000501971
ANTHEM FOR CTS
KY
05
200883590
IN
01
50014104
PASSPORT FOR PRIMARY CTS
KY
05
78018108
KY
01
P00427868
RAILROAD MEDICARE
KY
Enumeration date
10/13/2006
Last updated
07/09/2016
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