Individual
DR. KEVIN F LOGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
114 W HONEY CREEK PKWY, TERRE HAUTE, IN 47802-4114
(812) 234-6500
(812) 232-8921
Mailing address
2195 DUTCH LN, TERRE HAUTE, IN 47802-2761
(812) 242-1599
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002537
IN
Other
Enumeration date
05/28/2006
Last updated
08/01/2012
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