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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATHLEEN M LOGAN, M.D.

Active

KATHLEEN M LOGAN, M.D. is a Psychiatry healthcare provider located in JACKSON, Wyoming. NPI 1699752089 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · JACKSON, WY

Registration Details

NPI Number
1699752089
Provider Type
Individual
Gender
Female
NPI Issued
Dec 27, 2005 (20.64114081137 yrs)
Last Updated
Feb 10, 2021
Licenses
25358 (MN)
11343A (WY)

Practice Information

Address
555 E BROADWAY AVE STE 204
JACKSON, WY, 830018640
Browse WY providers · Browse ZIP 83001
Phone
3077394818
Fax
8883295701
Primary Specialty
Psychiatry
2084P0800X
Additional Specialty
Psychiatry

Other Psychiatry Providers in JACKSON, WY

Name Credential NPI
CHRISTOPHER ANDREW RAMSEY M.D. 1871614164
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.