Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LOGAN M KISSELL
Active Sole ProprietorLOGAN M KISSELL is a Long-Term Care Pharmacy healthcare provider located in OTTAWA, Ohio. NPI 1033737150 is currently active in the NPPES registry. Verify at CMS.
Long-Term Care Pharmacy · OTTAWA, OH
Registration Details
- NPI Number
- 1033737150
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2020 (6.1238824317189 yrs)
- Last Updated
- Jul 13, 2020
- License
-
03439762 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
305 W MAIN STOTTAWA, OH, 458751725Browse OH providers · Browse ZIP 45875
- Phone
- 4195236030
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.