Individual
BETH LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19550 E 39TH ST S, SUITE 100, INDEPENDENCE, MO 64057-2358
(913) 428-2910
(913) 428-2951
Mailing address
8717 W 110TH ST, SUITE 600, OVERLAND PARK, KS 66210-2144
(913) 428-2900
(913) 428-2951
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
144253
MO
Other
Enumeration date
08/05/2006
Last updated
10/25/2016
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