Individual
LOGAN LARKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10415 WALLACE ALLEY ST, KINGSPORT, TN 37663-3936
(423) 390-0451
Mailing address
114 ELIZABETH AVENUE, GRAY, TN 37615
(423) 773-3223
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
37973
TN
Other
Enumeration date
06/26/2023
Last updated
08/05/2025
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