Kimberly Lacynthia Logan in Chatsworth - Gerontology
Kimberly Lacynthia Logan - NPI 1417147463
Kimberly Lacynthia Logan is a Gerontology in Chatsworth, Georgia. Kimberly Lacynthia Logan practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Kimberly Lacynthia Logan is 1417147463. The last update date is 2021-09-13.
Kimberly Lacynthia Logan's current location address is 1440 Jackson Lake Rd, Chatsworth, Georgia. You can contact this provider via phone number 9043773301. The mailing address for Kimberly Lacynthia Logan is 1440 Jackson Lake Rd, Chatsworth, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Lacynthia Logan |
|---|---|
| Address | 1440 Jackson Lake Rd, Chatsworth, Georgia |
| Phone Number | 9043773301 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1417147463 |
|---|---|
| Provider Enumeration Date | 2007-07-26 |
| Last Updated Date | 2021-09-13 |
Provider Mailing Address Detail
| Address | 1440 Jackson Lake Rd |
|---|---|
| City | Chatsworth |
| State | Georgia (GA) |
| Post Code | 307054109 |
| Phone Number | 9043773301 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Gerontology |
|---|---|
| Taxonomy | 363Lg0600X |
| Licence No | 9166317 |
|
Definition: An advanced practice registered nurse expert in providing care to older adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1458200 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kimberly Lacynthia Logan by the Centers for Medicare & Medicaid Services?
The Kimberly Lacynthia Logan has been issued the NPI (National Provider Identifier) 1417147463 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Kimberly Lacynthia Logan is physically located?
The Kimberly Lacynthia Logan is situated at the following address: 1440 Jackson Lake Rd, Chatsworth, GA 307054109.
What is Kimberly Lacynthia Logan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kimberly Lacynthia Logan's specialized field of practice is Gerontology, and the corresponding taxonomy code that categorizes this area of specialization is 363Lg0600X.
When was the Kimberly Lacynthia Logan's 1417147463 issued?
The Kimberly Lacynthia Logan's 1417147463 was issued on 2007-07-26.
As of what date were the details pertaining to Kimberly Lacynthia Logan last refreshed?
The information related to the Kimberly Lacynthia Logan, including its address, specialty, and other relevant details, was last updated on 2021-09-13.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY