Individual
KENNETH ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1731 E NORTH AVE, BELTON, MO 64012-2130
(816) 322-3506
Mailing address
829 E 24TH AVE, NORTH KANSAS CITY, MO 64116-3360
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2023022599
MO
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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