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Individual

KAYLENE R ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
411 LAUREL ST, SUITE A250, DES MOINES, IA 50314-3017
(515) 235-5000
(515) 288-6713
Mailing address
5880 UNIVERSITY AVE, SUITE 205, WEST DES MOINES, IA 50266-8220
(515) 633-3835
(515) 633-3838

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001712
IA

Other

Enumeration date
07/03/2006
Last updated
07/09/2007
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