Kathleen M Logan, MD | |
555 E Broadway Ave Ste 204, Jackson, WY 83001-8640 | |
(307) 739-4818 | |
(888) 329-5701 |
Full Name | Kathleen M Logan |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 555 E Broadway Ave Ste 204, Jackson, Wyoming |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699752089 | NPI | - | NPPES |
150491600 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 25358 (Minnesota) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 11343A (Wyoming) | Primary |
Mailing Address | Practice Location Address |
---|---|
Kathleen M Logan, MD Po Box 428, Jackson, WY 83001-0428 Ph: (307) 739-4818 | Kathleen M Logan, MD 555 E Broadway Ave Ste 204, Jackson, WY 83001-8640 Ph: (307) 739-4818 |
Christopher Andrew Ramsey, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 680 S Cache St Ste 100, Jackson, WY 83001 Phone: 212-518-6718 | |
Dr. Nils Charles Westfall, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave Ste 204, Jackson, WY 83001 Phone: 307-739-4818 Fax: 307-739-4866 |