SearchKentucky1223X0400X

Logan Wedding

NPI 1477122869 · on the registry since 2021

Practice

Address
309 E Market St Unit 311
Louisville, KY 40202
Phone
(270) 831-0967

Registry record

Primary taxonomy
1223X0400X
1223X0400X
Also registered as
1223X0400X
Licence states on file
KY, IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-06-21

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 Kentucky