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NPI Code Detail

MEDICARE: KACI ROGERS

MEDICARE: KACI ROGERS
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
1235Z00000XSpeech-Language Pathologist9216MN

General Provider Information

NPI Number : 1700216066
Entity Type Code : Individual
Provider Name (Legal Business Name) : KACI ROGERS
Provider Business Mailing Address
First Line : 3157 SUPERIOR DR NW
Second Line :
City : ROCHESTER
State : MN
Zip : 55901-1993
Country : US
Telephone Number : 507-226-8844
Fax Number : 507-226-8846
Provider Business Practice Location Address
First Line : 3157 SUPERIOR DR NW
Second Line :
City : ROCHESTER
State : MN
Zip : 55901-1993
Country : US
Telephone Number : 507-226-8844
Fax Number : 507-226-8846
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2013
Last Update Date : 11/22/2013

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Directions to “ KACI ROGERS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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