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Individual

DR. STEPHEN KYLE ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3400 LAFAYETTE RD STE 200, INDIANAPOLIS, IN 46222-1147
(317) 291-7422
(317) 291-7433
Mailing address
3400 LAFAYETTE RD STE 200, INDIANAPOLIS, IN 46222-1147
(317) 291-7422
(317) 291-7433

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01054781A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000296595
ANTHEM BLUE CROSS
01
020300900
FEDCERAL BLACK LUNG
05
200283830
IN
01
7641531
AETNA
01
P00018889
RAILROAD MEDICARE
Enumeration date
05/24/2005
Last updated
04/03/2026
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