Individual
DR. KENNETH JOHN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, ATC
Contact information
Practice address
416 AVONDALE AVE, HADDONFIELD, NJ 08033-2810
(856) 429-0560
Mailing address
416 AVONDALE AVE, HADDONFIELD, NJ 08033-2810
(856) 429-0560
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/02/2005
Last updated
07/08/2007
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