Individual provider · Type 1 NPI
Kelly Rogers, DPM
Foot & Ankle Surgery Podiatrist · Olean, NY
NPI number
1174083125
Active
Practice location
535 Main St
Olean, NY 14760-1500
Mailing address
535 Main St Ste 1
Olean, NY 14760-1593
Other practice locations
- 27050 Cedar Rd Apt 409, Beachwood, OH 44122-1125 · (206) 697-7077
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | SC007237 (PA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1174083125
Kelly Rogers, DPM's National Provider Identifier is 1174083125, issued on Mar 24, 2019. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Olean, NY. The record was last updated on Jul 24, 2022.