Rodgers, Kevin A

Rodgers, Kevin A is an individual health care provider with primary practice located at 1315 Hospital Dr , St Johnsbury VT 05819-9210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rodgers, Kevin A can be contacted via phone (802) 748-7463.

Contact Information

Primary practice address
1315 Hospital Dr St Johnsbury VT 05819-9210
Fax: (802) 748-7541
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 042-0009380 Vermont

Profile Details

NPI number 1720014434
LBN Legal business name Rodgers, Kevin A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Nov 21st, 2011 - about 14 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 1720014434 NPPES
New Hampshire MEDICAID 30206051
New Hampshire MEDICAID HS19OP
New Hampshire MEDICAID 0VN1433
New Hampshire MEDICAID HS19IP

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