Kelley, Logan

Kelley, Logan is an individual health care provider with primary practice located at 2310 Clay St , Vicksburg MS 39183-3123. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Kelley, Logan can be contacted via phone (601) 661-5856.

Contact Information

Primary practice address
2310 Clay St Vicksburg MS 39183-3123
Phone: (601) 661-5856
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 010895 Mississippi
Pharmacy Service Providers / Pharmacist 183500000X 018795 Louisiana

Profile Details

NPI number 1033409669
LBN Legal business name Kelley, Logan
Credentials PHARM. D
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2011
Last updated Apr 16th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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