Active NPIIndividual provider

Mrs. Kimberly A Logan, FNPC

Nurse Practitioner, Family in Gt Barrington, Massachusetts

NPI Number1700931342
Practice location
63 State Road, Gt Barrington, MA 01230-1223
Fax
413-644-9433
Last updated
October 27, 2010

Kimberly A Logan is a Nurse Practitioner, Family based in Gt Barrington, MA. Kimberly A Logan practices in Gt Barrington, MA and has the professional credentials of FNPC. The NPI Number for Kimberly A Logan is 1700931342 and holds a License No. 210360 (MA). The current practice location address for Kimberly A Logan is 63 State Road, Gt Barrington, MA 01230-1223 and can be reached out via phone at 413-644-9933 and via fax at 413-644-9433.

Provider Profile Details

NPI Number
1700931342
Provider Name
Kimberly A Logan
Credential
FNPC
Provider Entity Type
Individual
Gender
Female
Address
63 State Road, Gt Barrington, MA 01230-1223
Phone Number
413-644-9933
Fax Number
413-644-9433
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
January 24, 2007
Last Update Date
October 27, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
63 State Road
Gt Barrington, MA 01230-1223
Zip
01230-1223
Phone Number
413-644-9933
Fax Number
413-644-9433
Gt Barrington, MA 01230Get directions →

Provider Business Mailing Address Details

Address
63 State Road
Gt Barrington, MA 01230-1223
City
Gt Barrington
State
MA
Zip
01230-1223
Phone Number
413-644-9933
Fax Number
413-644-9433

License Information

License Number
210360
License State
MA
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Kimberly A Logan, FNPC?

The NPI number of Mrs. Kimberly A Logan, FNPC is 1700931342. It was assigned on January 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kimberly A Logan, FNPC?

Mrs. Kimberly A Logan, FNPC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number 210360.

Where does Mrs. Kimberly A Logan, FNPC practice?

The practice location is 63 State Road, Gt Barrington, MA 01230-1223. The office can be reached at 413-644-9933 (phone) or 413-644-9433 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700931342 directly on the NPPES registry website.

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