Individual
KENNITH LOGWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
316 LYNWOOD DR, BECKLEY, WV 25801-8144
(304) 222-1367
Mailing address
316 LYNWOOD DR, BECKLEY, WV 25801-8144
(304) 222-1367
(304) 255-6736
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
WV
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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