Individual
MRS. KIMBERLY A LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
63 STATE ROAD, GT BARRINGTON, MA 01230-1223
(413) 644-9933
(413) 644-9433
Mailing address
63 STATE ROAD, GT BARRINGTON, MA 01230-1223
(413) 644-9933
(413) 644-9433
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
210360
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0799017
—
MA
Enumeration date
01/24/2007
Last updated
10/27/2010
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