Individual
KELLY ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
675 S WHITNEY WAY, MADISON, WI 53711-1034
(608) 277-6731
Mailing address
920 HALCYON DAYS CT, OREGON, WI 53575-3713
(608) 577-2075
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20525-40
WI
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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