Provider Demographics
NPI:1902379795
Name:ROGERS, KALI DEMPSEY (FNP)
Entity Type:Individual
Prefix:MRS
First Name:KALI
Middle Name:DEMPSEY
Last Name:ROGERS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 127
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39339-0127
Mailing Address - Country:US
Mailing Address - Phone:662-803-7206
Mailing Address - Fax:
Practice Address - Street 1:16569 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:MS
Practice Address - Zip Code:39339-2647
Practice Address - Country:US
Practice Address - Phone:662-773-5704
Practice Address - Fax:662-773-9463
Is Sole Proprietor?:No
Enumeration Date:2019-01-04
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS892072163W00000X
MS902926363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse