Individual
KENNETH FRANKLIN RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 W KINGSHIGHWAY STE 9, PARAGOULD, AR 72450-4197
(870) 236-2202
(870) 236-8428
Mailing address
1000 W KINGSHIGHWAY STE 9, PARAGOULD, AR 72450-4197
(870) 236-2202
(870) 236-8428
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C-7528
AR
207RG0100X
Gastroenterology Physician
Primary
C7528
AR
208600000X
Surgery Physician
C-7528
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118700001
—
AR
05
—
209217702
—
MO
Enumeration date
03/20/2006
Last updated
03/12/2025
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