Individual
KELSEY JEAN LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1901 ULMERTON RD, SUITE 450, CLEARWATER, FL 33762-2300
(727) 210-8191
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN9336293
FL
Other
Enumeration date
10/20/2016
Last updated
02/14/2024
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