Rogers, Kathleen A
Rogers, Kathleen A is an individual health care provider with primary practice located at 1335 Gusdorf Rd Suite A, Taos NM 87571-5204. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Rogers, Kathleen A can be contacted via phone (505) 751-9333.Contact Information
Primary practice address
1335 Gusdorf Rd Suite A
Taos NM 87571-5204
Phone: (505) 751-9333
Fax: (505) 737-0483
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DD1823 | New Mexico |
Profile Details
| NPI number | 1659343044 |
|---|---|
| LBN Legal business name | Rogers, Kathleen A |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659343044 | NPPES |
| New Mexico | MEDICAID | 09258566 | |
| New Mexico | MEDICAID | A9017 |
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