Individual
MR. ROBERT JOSHUA LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
613 23RD ST STE 340, ASHLAND, KY 41101-2879
(606) 329-2888
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1630
WV
363A00000X
Physician Assistant
2096
WV
363A00000X
Physician Assistant
50.006077RX
OH
363A00000X
Physician Assistant
Primary
PA2372
KY
363A00000X
Physician Assistant
TC717
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0243582
—
OH
05
—
7100515940
—
KY
Enumeration date
11/15/2013
Last updated
12/22/2025
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