MRS. Monica Kaitlyn Logan, PA-C

NPI #1902281066 in Corbin, Kentucky

Provider Information

NPI Number: 1902281066
Entity Type: Individual
Name: MRS. Monica Kaitlyn Logan, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 29, 2015
Last Updated: Aug 17, 2015

Practice Location

Address: 1 TRILLIUM WAY
City: Corbin
State: Kentucky
ZIP Code: 40701-8727
Phone: (606) 523-8521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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