KATHLEEN M LOGAN M.D.
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Psychiatry
Provider Information
- NPI Number
1699752089- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 555 E BROADWAY AVE STE 204, JACKSON, WY, 830018640
- Phone
- (307) 739-4818
- Fax
- (888) 329-5701
Specialties & Taxonomies
Psychiatry & Neurology, Psychiatry
License: MN #25358
Psychiatry & Neurology, Psychiatry
Primary License: WY #11343A