Organization
R. KEVIN ROGERS MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN CHERRY (PRACTICE MANAGER)
(812) 752-4656
Entity
Organization
Contact information
Practice address
1473 N GARDNER ST, SCOTTSBURG, IN 47170-7751
(812) 752-4656
Mailing address
PO BOX 407, SCOTTSBURG, IN 47170-0407
(812) 752-4656
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100221450A
—
IN
Enumeration date
08/24/2018
Last updated
08/24/2018
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