Individual
LOGAN DUERKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.P.R.N.
Contact information
Practice address
713 W 11TH ST, LARNED, KS 67550-2055
(620) 804-6007
Mailing address
713 W 11TH ST, LARNED, KS 67550-2055
(620) 804-6007
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-76359-111
KS
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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