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Contact Information

KENNETH ROGERS, MD
6100 PAN AMERICAN EAST FWY NE
100
ALBUQUERQUE, NM87109-3427
 Phone: 505-727-6200
 Fax: 505-727-9590
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for KENNETH ROGERS · (Male)

NPI # 1043316169
Status Active
Credentials MD
Entity Individual
Enumeration date 09/15/2006
Last updated 08/12/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 80242
  • NM Medicaid 00017236
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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