KENNETH ROGERS NPI 1528458072

NPI Information

NPI: 1528458072
Provider Name: KENNETH ROGERS
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
122 BOW ST STE A
FAYETTEVILLE, NC
ZIP 28301
Phone: (919) 675-6549
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Kenneth Rogers is a peer specialist in Fayetteville, NC. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Kenneth Rogers NPI is 1528458072. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

122 BOW ST STE A
FAYETTEVILLE, NC
ZIP 28301-308
Phone: (919) 675-6549

The enumeration date for this NPI number is 2/4/2015 and was last updated on 2/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist		2015213901	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	51144	OTHER	NORTH CAROLINA	DWI FACILITY CODE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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