Individual
KRISTIN ANNE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
34TH STREET AND CIVIC CENTER BOULEVARD, PHILADELPHIA, PA 19104
(215) 590-1000
Mailing address
209 LAWNTON RD, WILLOW GROVE, PA 19090-2311
(215) 694-1554
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051705
PA
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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