Individual
JESSICA KELLIE ROGERS
Active
Individual
JESSICA KELLIE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2010018426
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871707729
TRIWEST
MO
05
—
1871707729
—
IL
05
—
1871707729
—
MO
01
—
699501
ANTHEM BCBS
MO
05
—
7100144870
—
KY
01
—
A32634
HEALTHLINK
—
01
—
P00883009
RR MCR
MO
Enumeration date
05/10/2007
Last updated
02/25/2021
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