Logan, Kelly J.
Logan, Kelly J. is an sole proprietor health care provider with primary practice located at 601 E 63Rd St Ste 210 , Kansas City MO 64110-3303. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Logan, Kelly J. can be contacted via phone (816) 569-5475.Contact Information
Primary practice address
601 E 63Rd St Ste 210
Kansas City MO 64110-3303
Phone: (816) 569-5475
Fax: (816) 569-5482
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 2010035953 | Missouri |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 0533193 | Kansas |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 48544 | Wisconsin |
Profile Details
NPI number | 1376592139 |
---|---|
LBN Legal business name | Logan, Kelly J. |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 9th, 2006 |
Last updated | Apr 20th, 2021 - about 4 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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