Individual
KEVIN A RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1315 HOSPITAL DR, ST JOHNSBURY, VT 05819-9210
(802) 748-7463
(802) 748-7541
Mailing address
1315 HOSPITAL DR, ST JOHNSBURY, VT 05819-9210
(802) 748-7463
(802) 748-7541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042-0009380
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN1433
—
VT
05
—
30206051
—
NH
05
—
HS19IP
—
AK
05
—
HS19OP
—
AK
Enumeration date
06/24/2006
Last updated
11/21/2011
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