Individual
KAYLA RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
52 78TH STREET, KOPPERSTON, WV 24854
(304) 682-6197
Mailing address
PO BOX 1333, OCEANA, WV 24870-1333
(304) 682-6197
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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