Individual
KIMBERLY ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
317 S BERKLEY RD, KOKOMO, IN 46901-5114
(765) 236-8800
(765) 588-1004
Mailing address
7382 E COUNTY ROAD 300 S, FRANKFORT, IN 46041-9205
(765) 490-1547
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28150957A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71003703A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000731417
ANTHEM PROVIDER NUMBER
IN
05
—
201034790
—
IN
Enumeration date
06/21/2011
Last updated
04/28/2026
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