Kimberly A Logan is a Family in Gt Barrington, Massachusetts. Kimberly A Logan practices all healthcare services and medical treatments related to Family. The NPI Number for Kimberly A Logan is 1700931342. The last update date is 2010-10-27.
Kimberly A Logan's current location address is 63 State Road, Gt Barrington, Massachusetts. You can contact this provider via phone number 4136449933 and fax number 4136449433. The mailing address for Kimberly A Logan is 63 State Road, Gt Barrington, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly A Logan |
|---|---|
| Address | 63 State Road, Gt Barrington, Massachusetts |
| Phone Number | 4136449933 |
| Fax Number | 4136449433 |
| Sole Proprietor | N |
| Credentials | FNPC |
NPI Number Detail
| NPI Number | 1700931342 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2010-10-27 |
Provider Mailing Address Detail
| Address | 63 State Road |
|---|---|
| City | Gt Barrington |
| State | Massachusetts (MA) |
| Post Code | 12301223 |
| Phone Number | 4136449933 |
| Fax Number | 4136449433 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 210360 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 799017 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kimberly A Logan by the Centers for Medicare & Medicaid Services?
The Kimberly A Logan has been issued the NPI (National Provider Identifier) 1700931342 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kimberly A Logan's facilities are situated?
The facilities of Kimberly A Logan are physically located at the following address: 63 State Road, Gt Barrington, MA, 12301223.
What is Kimberly A Logan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kimberly A Logan is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
On what date did the Kimberly A Logan receive its 1700931342 assignment from the Centers for Medicare & Medicaid Services?
The Kimberly A Logan was assigned its 1700931342 by the Centers for Medicare & Medicaid Services on 2007-01-24.
As of what date were the details related to Kimberly A Logan most recently updated or revised?
The information pertaining to Kimberly A Logan, including its address, specialty, and other relevant details, was last updated or revised on 2010-10-27.