person
Kenneth Leon Logan III
Professional Counselor in Louisville, Kentucky
NPI 1760073779

Kenneth Leon Logan III is a Professional Counselor based in Louisville, KY and is specialized in Professional. Kenneth Leon Logan III practices in Louisville, KY. The NPI Number for Kenneth Leon Logan III is 1760073779 and holds a License No. 268053 (Kentucky).

The current practice location address for Kenneth Leon Logan III is 10401 Linn Station Rd Ste 100, Louisville, KY and can be reached out via phone at 502-589-8600.

Location: 10401 Linn Station Rd Ste 100, Louisville, KY, 40223-3842
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Provider Profile Details
NPI Number
1760073779
Provider Name
Kenneth Leon Logan III
Credential
Provider Entity Type
Individual
Gender
Male
Address
10401 Linn Station Rd Ste 100, Louisville, KY, 40223-3842
Phone Number
502-589-8600
Fax Number
Provider Enumeration Date
02/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10401 Linn Station Rd Ste 100
City
State
Zip
40223-3842
Phone Number
502-589-8600
Fax Number
person
Provider Business Mailing Address Details
Address
10401 Linn Station Rd Ste 100
City
State
Zip
40223-3842
Phone Number
502-589-8600
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
268053 (Kentucky)
Definition
Definition to come...
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