Rogers, Kimberly Kay

Rogers, Kimberly Kay is an individual health care provider with primary practice located at 290 Sunrise Dr , Fort Pierce FL 34945-4125. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Rogers, Kimberly Kay can be contacted via phone (772) 461-1349.

Contact Information

Primary practice address
290 Sunrise Dr Fort Pierce FL 34945-4125
Phone: (772) 461-1349
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND 1278 Florida

Profile Details

NPI number 1932100294
LBN Legal business name Rogers, Kimberly Kay
Credentials RD LD N
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Dec 28th, 2007 - about 19 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 1932100294 NPPES
Florida Other LD # ND1278 LICENSED
Florida Other RD 713403 LICENSED

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