Individual
MR. LOGAN SCOTT VANSICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
411 LETCHER ST, HENDERSON, KY 42420-4245
(270) 831-7950
Mailing address
1305 N ELM ST, HENDERSON, KY 42420-2775
(270) 827-7200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013499
KY
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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