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NPI Code Detail

MEDICARE: MRS. KATHLEEN ANN ROGERS RN,BSN

MEDICARE:  MRS. KATHLEEN ANN ROGERS  RN,BSN
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
1163WH0500XHemodialysis Registered NurseRN245022OH

General Provider Information

NPI Number : 1174528947
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHLEEN ANN ROGERS RN,BSN
Provider Business Mailing Address
First Line : 1780 CELESTE CIR
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44511-1006
Country : US
Telephone Number : 330-793-2044
Fax Number :
Provider Business Practice Location Address
First Line : 1780 CELESTE CIR
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44511-1006
Country : US
Telephone Number : 330-793-2044
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 07/08/2007

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Directions to “ MRS. KATHLEEN ANN ROGERS RN,BSN” Practice Location

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