Logan Jacob Mann, PA-C
NPI #1104688803 in Winchester, Kentucky
Provider Information
- NPI Number
- 1104688803
- Entity Type
- Individual
- Name
- Logan Jacob Mann, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jan 29, 2024
- Last Updated
- Jun 14, 2024
Practice Location
- Address
- 175 HOSPITAL DR
- City
- Winchester
- State
- Kentucky
- ZIP Code
- 40391-9591
- Phone
- (859) 745-3500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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