National Provider Identifier
Kathleen Logan
Kathleen Logan is listed in the NPPES registry with a primary specialty of Registered Nurse in Williamson, NY and a listed phone number of (585) 455-6104.
Profile Overview
- NPI
- 1407314347
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- March 11, 2019
- Last Updated
- March 11, 2019
Practice Location
- 4582 Lake RD
- Williamson, NY 14589-9732
Phone: (585) 455-6104
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1407314347
- Entity Type
- Individual
- Last Name
- Logan
- First Name
- Kathleen
- Mailing Street Address
- 4582 Lake RD
- Mailing City
- Williamson
- Mailing State
- NY
- Mailing ZIP Code
- 14589-9732
- Mailing Country
- US
- Mailing Phone
- (585) 455-6104
- Practice Street Address
- 4582 Lake RD
- Practice City
- Williamson
- Practice State
- NY
- Practice ZIP Code
- 14589-9732
- Practice Country
- US
- Practice Phone
- (585) 455-6104
- Enumeration Date
- March 11, 2019
- Last Updated
- March 11, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)