Individual
MR. KYLE JOSEPH LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
H.I.S.
Contact information
Practice address
310 WASHINGTON AVE, NORTH HAVEN, CT 06473-1315
(475) 221-7856
Mailing address
102 WASHINGTON AVE, EAST HARTFORD, CT 06118-2655
(860) 810-9614
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
432
CT
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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