Individual
KERRIE LYNN RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
111 S GRANT AVE FL 3, COLUMBUS, OH 43215-4701
(614) 566-9871
(614) 566-9503
Mailing address
5400 FRANTZ RD, STE 250, DUBLIN, OH 43016-6102
(614) 544-6161
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA17445NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0133983
—
OH
Enumeration date
04/07/2015
Last updated
01/24/2017
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