| Doctor Name: | MRS. KIMBERLY ANN RODGERS |
| NPI Number: | 1306089420 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS |
| License Number: | |
| Business Practice Address: | 5228 Nc Highway 211 West End, NC - 27376 |
| Business Phone Number: | 9106738513 |
| Business Fax Number: | |
| Mailing Address: | 3812 Holly Oak Dr, Unit 8 FAYETTEVILLE |
| State: | NC |
| Postal Code: | 283141290 |
| Phone Number: | 8082223877 |
| Fax Number: | |
| NPI Enumeration Date: | 04/20/2009 |
| NPI Last Update Date: | 04/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |