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Individual

KATHLEEN L LOGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
651 GRAND PANAMA BLVD STE 102, PANAMA CITY BEACH, FL 32407-3458
(850) 249-0450
Mailing address
213 BEACHWOOD LN, PANAMA CITY, FL 32413-2789

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11001805
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11001805
FL

Other

Enumeration date
04/29/2019
Last updated
10/29/2025
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