Rogers, Kimberly

Rogers, Kimberly is an individual health care provider with primary practice located at 940 Park East Blvd , Lafayette IN 47905. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Rogers, Kimberly can be contacted via phone (765) 464-2280.

Contact Information

Primary practice address
940 Park East Blvd Lafayette IN 47905
Phone: (765) 464-2280
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28150957A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71003703A Indiana

Profile Details

NPI number 1902192776
LBN Legal business name Rogers, Kimberly
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2011
Last updated Dec 10th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902192776 NPPES
Indiana MEDICAID 201034790
Indiana Other 000000731417

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