Individual
LOGAN KEVIN PAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2801 ADAMS AVENUE, ASHLAND, KY 41102
(606) 465-9754
Mailing address
1210 8TH ST APT 1, HUNTINGTON, WV 25701-3465
(681) 208-2949
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.20201495-SP
OH
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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