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NPI Code Detail

MEDICARE: KATHLEEN MARY ROGERS APRN

MEDICARE: KATHLEEN MARY ROGERS APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse PractitionerRN2272566MA
2363LA2200XAdult Health Nurse PractitionerRN2272566MA

General Provider Information

NPI Number : 1093189813
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN MARY ROGERS APRN
Provider Business Mailing Address
First Line : 4600 MONTGOMERY RD STE 400
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2600
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 261 NORTH ST
Second Line :
City : HYANNIS
State : MA
Zip : 02601-3823
Country : US
Telephone Number : 833-510-4357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2015
Last Update Date : 08/21/2024

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