Individual
MS. KAYLEEN A LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, APRN, BC
Contact information
Practice address
1124 COLLEGE DR, ROCK SPRINGS, WY 82901-5863
(307) 352-6680
(307) 352-6676
Mailing address
3513 SANTA ANA DR, ROCK SPRINGS, WY 82901-5619
(307) 382-5872
(307) 382-5872
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9567.0079
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1061151-00
—
WY
Enumeration date
11/01/2006
Last updated
07/08/2007
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