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

KIKI LOGAN

Active Sole Proprietor

KIKI LOGAN is a Early Intervention Provider Agency healthcare provider located in ELLENBORO, North Carolina. NPI 1700327178 is currently active in the NPPES registry. Verify at CMS.

Early Intervention Provider Agency · ELLENBORO, NC

Registration Details

NPI Number
1700327178
Provider Type
Individual
Gender
Female
NPI Issued
Mar 17, 2017 (9.3970844423093 yrs)
Last Updated
Mar 17, 2017
Sole Proprietor
Yes

Practice Information

Address
245 E PARK RD
ELLENBORO, NC, 280407621
Browse NC providers · Browse ZIP 28040
Phone
8283053870
Primary Specialty
Early Intervention Provider Agency
252Y00000X
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.