Individual
KIMBERLY M LOGSDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(301) 724-0061
Mailing address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(301) 724-0061
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP26997
MD
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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