Individual
MS. KATHLEEN LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
801 17TH ST NE, COMMUNITY OF HOPE AT FAMILY HEALTH AND BIRTH CENTER, WASHINGTON, DC 20002-7200
(202) 398-5520
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
103-20694
DC
363L00000X
Nurse Practitioner
Primary
RN45366
DC
Other
Enumeration date
05/16/2007
Last updated
01/03/2012
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