Provider Demographics
NPI:1750760609
Name:ROGERS, KYLE (MD)
Entity type:Individual
Prefix:MR
First Name:KYLE
Middle Name:
Last Name:ROGERS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:615 E OKLAHOMA
Mailing Address - Street 2:STE 101
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73701-5952
Mailing Address - Country:US
Mailing Address - Phone:580-233-4711
Mailing Address - Fax:580-234-6686
Practice Address - Street 1:615 E OKLAHOMA
Practice Address - Street 2:STE 101
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73701-5952
Practice Address - Country:US
Practice Address - Phone:580-233-4711
Practice Address - Fax:580-234-6686
Is Sole Proprietor?:No
Enumeration Date:2015-05-26
Last Update Date:2024-08-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK31506207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology