KELLY APGAR LOGAN (NPI# 1417290396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417290396 |
| Entity Type | Individual |
| Full Name | KELLY APGAR LOGAN |
| Credential | D.O. |
| Practice Address |
3729 Teays Valley Rd Ste 100 Hurricane WV 25526-9705 |
| Mailing Address |
5229 Pine Ter Cross Lanes WV 25313-1112 |
| Practice Telephone | 3047606040 |
| Mailing Telephone | 3049632033 |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2017-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
3214 | WV | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376592139 | Kelly J. Logan | Physical Medicine & Rehabilitation | 601 E 63rd St Ste 210, Kansas City, MO 64110-3303 | 2006-05-09 |
| 1073137618 | Kelly Logan | Counselor | 1433 S Robertson Blvd, Los Angeles, CA 90035-3414 | 2020-05-29 |
| 1558625244 | Kelly Logan | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2012-06-27 |
| 1962655910 | Kelly A Logan | Counselor | 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 | 2008-11-03 |
| Street Address |
3729 TEAYS VALLEY RD STE 100 |
| City | HURRICANE |
| State | WV |
| Zip Code | 25526-9705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326263393 | Tamara Lewis | Counselor | 3729 Teays Valley Rd Ste 100, Hurricane, WV 25526-9705 | 2007-04-16 |
| 1073085023 | Katee Conaway | Counselor | 3729 Teays Valley Rd Ste 100, Hurricane, WV 25526-9705 | 2018-12-31 |
| 1104239821 | Kenneth D Oxley | Psychologist | 3729 Teays Valley Rd Ste 100, Hurricane, WV 25526-9705 | 2014-06-10 |
| 1306257415 | Aaron Brownfield | Pediatrics | 3729 Teays Valley Rd Ste 100, Hurricane, WV 25526-9705 | 2014-05-12 |
| 1235482951 | Kevin D. Gladis | Nurse Practitioner | 3729 Teays Valley Rd Ste 100, Hurricane, WV 25526-9705 | 2012-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081707 | Paige E Walroth | Technician | 51 Overlook Dr, Hurricane, WV 25526 | 2020-10-21 |
| 1770195778 | Marilyn Sue Shank | Technician | 168 Willow Tree Way, Apt 313, Hurricane, WV 25526 | 2020-08-20 |
| 1275150351 | Wv Wellness and Recovery LLC | Clinic/Center | 4 Putnam Village Drive, Hurricane, WV 25526 | 2020-07-06 |
| 1538645718 | Patsy Samples | Technician | 3067 State Rt 34s, Hurricane, WV 25526 | 2018-07-11 |
| 1528550274 | Sarah Marie Jackson | Occupational Therapist | Genesis-putnam Center, 300 Seville Road, Hurricane, WV 25526 | 2018-05-30 |
| 1619466463 | Mh Psychological Services, Pllc | Psychologist | 125 Morris Ct, Hurricane, WV 25526 | 2018-05-08 |
| 1023510740 | William Riddle | Technician | 157 Washington Cirlce, Hurricane, WV 25526 | 2018-03-08 |
| 1942702303 | Natalie Whitman | Technician | 2933 State Route 34 South, Hurricane, WV 25526 | 2018-03-01 |
| 1972002681 | Dianna Roberts | Technician | 550 Dudding Avenue, Hurricane, WV 25526 | 2018-02-08 |
| 1174022875 | Nancy Adams | Technician | 1 Western Hills Drive, Hurricane, WV 25526 | 2018-02-08 |
| Find all providers in zip 25526 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992923734 | Center for Alternative Medicine | Psychiatry & Neurology | 300b Prestige Park Dr, Hurricane, WV 25526-8419 | 2007-04-24 |
| 1457560963 | Mahija Kottapalli Md Pllc | Psychiatry & Neurology | 1401 Hospital Dr, Suite 201, Hurricane, WV 25526-9237 | 2007-05-21 |
| 1366511271 | Mahija Kottapalli | Psychiatry & Neurology | 1401 Hospital Dr, Suite # 201, Hurricane, WV 25526-9237 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093362840 | Devaraj Behavioral Healthcare Pllc | Psychiatry & Neurology | 1109 Jefferson Rd Ste C, South Charleston, WV 25309-8815 | 2019-08-26 |
| 1447612742 | Ruthie Cooper | Psychiatry & Neurology | 1115 20th St # 205, Huntington, WV 25703 | 2016-03-25 |
| 1104219070 | John Wilson Hendleman | Psychiatry & Neurology | 333 Laidley St Fl 4w, Charleston, WV 25301-1614 | 2015-03-16 |
| 1124434550 | Achuta Ram Aynampudi | Psychiatry & Neurology | 100 Stoney Hill Rd, Fairmont, WV 26554 | 2014-07-07 |
| 1871858340 | Rajesh Kumar Mehta | Psychiatry & Neurology | 300 56th Street, S.e., Charleston, WV 25304-2308 | 2012-07-10 |
| 1043572860 | Dhashaini Nadarajah | Psychiatry & Neurology | 500 Poplar St Ste 204, South Charleston, WV 25309 | 2012-06-08 |
| 1629344858 | Kevin Douglas Junkins | Psychiatry & Neurology | 65 Professional Pl Ste 102, Bridgeport, WV 26330 | 2012-04-02 |
| 1700166659 | Carruth Center-ssc | Psychiatry & Neurology | 700 College Avenue, 3rd Floor, Morgantown, WV 26506-6422 | 2011-08-24 |
| 1427337534 | Nihit Gupta | Psychiatry & Neurology | 2000 Eoff St Ste 501, Wheeling, WV 26003-3823 | 2011-08-07 |
| 1093033789 | Ryan John Wakim | Psychiatry & Neurology | 1100 Main St Ste 104, Wheeling, WV 26003-2737 | 2010-05-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KELLY APGAR LOGAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.