Individual
DR. KATHLEEN M. ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1272 W MAIN ST STE 203, NEWARK, OH 43055-2055
(220) 564-1760
(220) 564-1761
Mailing address
1272 W MAIN ST STE 203, NEWARK, OH 43055-2055
(220) 564-1760
(220) 564-1761
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35056491
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027913
TRICARE
OH
01
—
070006685
RR MEDICARE PART B
OH
05
—
0703733
—
OH
Enumeration date
08/12/2006
Last updated
02/20/2017
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