| Doctor Name: | KIMBERLY REBECCA ROGAN |
| NPI Number: | 1952609471 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 785768 |
| Business Practice Address: | 1535 Cress Way Olivehurst, CA - 959617434 |
| Business Phone Number: | 5302184131 |
| Business Fax Number: | |
| Mailing Address: | 1535 Cress Way, OLIVEHURST |
| State: | CA |
| Postal Code: | 959617434 |
| Phone Number: | 5302184131 |
| Fax Number: | |
| NPI Enumeration Date: | 03/08/2011 |
| NPI Last Update Date: | 03/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | 785768 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |