Individual
KENNETH LEON LOGAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10401 LINN STATION RD STE 100, LOUISVILLE, KY 40223-3842
(502) 589-8600
Mailing address
10401 LINN STATION RD STE 100, LOUISVILLE, KY 40223-3842
(502) 589-8600
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
268053
KY
Other
Enumeration date
02/02/2021
Last updated
02/10/2021
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