Provider Demographics
NPI:1548769318
Name:ROGERS, KATHERINE DAO (MS)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:DAO
Last Name:ROGERS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:NGUYEN
Other - Last Name:DAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:6105 MAREE CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-4020
Mailing Address - Country:US
Mailing Address - Phone:408-386-5159
Mailing Address - Fax:
Practice Address - Street 1:5755 COTTLE RD BLDG 21
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-3640
Practice Address - Country:US
Practice Address - Phone:408-386-5159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-07
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGC000928170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS