Individual
KAYLA R COLLIER- LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5519 MAYBERRY ST, OMAHA, NE 68106-1636
(531) 299-2222
Mailing address
5519 MAYBERRY ST, OMAHA, NE 68106-1636
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
NE
3747P1801X
Personal Care Attendant
—
NE
Other
Enumeration date
12/19/2024
Last updated
08/25/2025
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