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1003437880
KATHRYN NICOLE LOGAN
MONTGOMERY, AL
NPI
1003437880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AL 1-134637)
Enumeration Date
2020-05-02
Last Update Date
2023-01-11
Business Address
KATHRYN NICOLE LOGAN PMHNP
4371 NARROW LANE RD STE 205
MONTGOMERY, AL 36116-2975
Phone number: 334-747-7780
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Mailing Address
KATHRYN NICOLE LOGAN PMHNP
301 BROWN SPRINGS RD
MONTGOMERY, AL 36117-7005
Phone number: 334-747-4159
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