| Doctor Name: | MS. KELLY E. ROGERS |
| NPI Number: | 1194084145 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. |
| License Number: | 107121 |
| Business Practice Address: | 2903 B. Azalea St. Victoria, TX - 77901 |
| Business Phone Number: | 3615760884 |
| Business Fax Number: | 3615763257 |
| Mailing Address: | 2903 B. Azalea St., VICTORIA |
| State: | TX |
| Postal Code: | 77901 |
| Phone Number: | 3615760884 |
| Fax Number: | 3615763257 |
| NPI Enumeration Date: | 05/11/2012 |
| NPI Last Update Date: | 08/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 107121 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |