Organization
KENT ALEXANDER LOGAN MD NEUROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT A LOGAN MD (OWNER)
(603) 601-7762
Entity
Organization
Contact information
Practice address
55 HIGH ST STE 301, HAMPTON, NH 03842-2213
(603) 601-7762
Mailing address
55 HIGH ST STE 301, HAMPTON, NH 03842-2213
(603) 601-7762
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2422715
CIGNA
NH
Enumeration date
12/17/2020
Last updated
06/22/2021
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