Kendrick Wayne Logan
NPI #1053190975 in Colton, California
Provider Information
- NPI Number
- 1053190975
- Entity Type
- Individual
- Name
- Kendrick Wayne Logan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Rehabilitation Practitioner
- Enumeration Date
- Sep 28, 2023
- Last Updated
- May 12, 2025
Practice Location
- Address
- 1330 E COOLEY DR
- City
- Colton
- State
- California
- ZIP Code
- 92324-3905
- Phone
- (909) 580-3734
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
| Rehabilitation Practitioner |
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