LOGAN JACOB MANN

WINCHESTER, KY
NPI1104688803
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-01-29
Last Update Date2024-06-14
Business Address
LOGAN JACOB MANN PA-C
175 HOSPITAL DR
WINCHESTER, KY 40391-9591
Phone number: 859-745-3500
Mailing Address
LOGAN JACOB MANN PA-C
5048 PADDOCK LOOP
LAWRENCEBURG, KY 40342-1735
Phone number: 502-598-1024