Individual
KRISTY EILEEN RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
600 N WOLFE ST, HALSTED 600, BALTIMORE, MD 21287-5601
(410) 502-2651
Mailing address
600 N WOLFE ST, HALSTED 600, BALTIMORE, MD 21287-5601
(410) 502-2651
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
22551
NY
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/08/2013
Last updated
06/30/2023
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