SearchIdaho390200000X

Kaylee Logan

NPI 1316869373 · on the registry since 2026 · sole proprietor

Practice

Address
2495 E Lincoln Rd
Idaho Falls, ID 83401
Phone
(986) 497-3149
Organisation at this address
Costco Wholesale Corporation
Costco Wholesale Corporation
Costco Wholesale Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho