Logan, Kelsey

Logan, Kelsey is an individual health care provider with primary practice located at 3333 Burnet Ave Ml 10001, Cincinnati OH 45229-3026. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Logan, Kelsey can be contacted via phone (513) 636-4366.

Contact Information

Primary practice address
3333 Burnet Ave Ml 10001 Cincinnati OH 45229-3026
Phone: (513) 636-4366
Fax: (513) 636-0516
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35.093069 Ohio
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X 35.093069 Ohio

Profile Details

NPI number 1497723076
LBN Legal business name Logan, Kelsey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Mar 17th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497723076 NPPES
Ohio MEDICAID 2932509

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