Healthcare Provider Details

I. General information

NPI: 1700546835
Provider Name (Legal Business Name): KENNETH EARL ROGERS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2021
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2843 E GRAND RIVER AVE STE 170
EAST LANSING MI
48823-6723
US

IV. Provider business mailing address

2843 E GRAND RIVER AVE STE 170
EAST LANSING MI
48823-6723
US

V. Phone/Fax

Practice location:
  • Phone: 517-337-7463
  • Fax: 517-337-7453
Mailing address:
  • Phone: 517-337-7463
  • Fax: 517-337-7453

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301401190
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: