Individual
CAMERON R. LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1740 NICHOLASVILLE RD, LEXINGTON, KY 40503-1431
(859) 260-6100
Mailing address
3200 LOCH NESS DR APT 40, LEXINGTON, KY 40517-1209
(513) 833-1349
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3013082
KY
Other
Enumeration date
01/29/2019
Last updated
07/22/2019
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