Rogers, Kenneth
Rogers, Kenneth is an individual health care provider with primary practice located at 6100 Pan American East Fwy Ne 100, Albuquerque NM 87109-3427. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Rogers, Kenneth can be contacted via phone (505) 727-6200.Contact Information
Primary practice address
6100 Pan American East Fwy Ne 100
Albuquerque NM 87109-3427
Phone: (505) 727-6200
Fax: (505) 727-9590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | 80242 | New Mexico |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 80242 | New Mexico |
Profile Details
| NPI number | 1043316169 |
|---|---|
| LBN Legal business name | Rogers, Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Aug 12th, 2015 - about 10 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 | 1043316169 | NPPES |
| New Mexico | MEDICAID | 00017236 |
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