NPI 1528458072

Kenneth Rogers

Practitioner Peer Specialist Fayetteville, NC

Practice location

Address: 122 Bow St STE a, Fayetteville, NC 28301-2308
Phone: (919) 675-6549

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 2015213901 (NC)

Other Peer Specialist providers in North Carolina →

Registry record

NPI: 1528458072
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Feb 2015
Record last updated: 4 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.