Kevin A Rodgers, M.D.
Family Medicine in St Johnsbury, VT. Individual provider (NPI-1).
NPI number1720014434
StatusActive
Last updated in NPPESNov 21, 2011
Details
- NPI
- 1720014434
- Entity type
- Individual (NPI-1)
- Name
- Kevin A Rodgers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2006
- Last updated
- Nov 21, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 042-0009380 | VT | Yes |
Practice location
1315 Hospital DrSt Johnsbury, VT 05819-9210
Phone 802-748-7463 · Fax 802-748-7541
Mailing address
1315 Hospital DrSt Johnsbury, VT 05819-9210
Phone 802-748-7463 · Fax 802-748-7541
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