Individual
KENYA RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERT HAIRLOSS SPEC
Contact information
Practice address
201 SKYLAND PLZ, SPRING LAKE, NC 28390-3429
(910) 568-3687
Mailing address
44 CARAWAY CT, CAMERON, NC 28326-5048
(757) 329-5363
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
C76222
VA
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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