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Mr. Logan Benedict
Student in an Organized Health Care Education/Training Program in Kirksville, Missouri
NPI 1508588088

Logan Benedict is a Student in an Organized Health Care Education/Training Program based in Lake Ozark, MO. Logan Benedict practices in Kirksville, MO. The NPI Number for Logan Benedict is 1508588088 and holds a License No. (Missouri).

The current practice location address for Logan Benedict is 100 E Normal Ave, Kirksville, MO and can be reached out via phone at 573-723-0521.

Location: 100 E Normal Ave, Kirksville, MO, 65049-4779
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508588088
Provider Name
Logan Benedict
Credential
Provider Entity Type
Individual
Gender
Male
Address
100 E Normal Ave, Kirksville, MO, 65049-4779
Phone Number
573-723-0521
Fax Number
Provider Enumeration Date
09/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 E Normal Ave
City
Kirksville
State
Missouri
Zip
63501-4221
Phone Number
573-723-0521
Fax Number
person
Provider Business Mailing Address Details
Address
100 E Normal Ave
City
Kirksville
State
Missouri
Zip
63501-4221
Phone Number
573-723-0521
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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