DR. KENNETH OWEN LOGAN (NPI# 1467406827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467406827 |
| Entity Type | Individual |
| Full Name | DR. KENNETH OWEN LOGAN |
| Credential | D.C. |
| Practice Address |
24 Waleska St Suite 100 Canton GA 30114-2739 |
| Mailing Address |
200 Heritage Cir Apt 406 Canton GA 30114-5685 |
| Practice Telephone | 7703457896 |
| Practice Fax Number | 7703454096 |
| Mailing Telephone | 6784933502 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2011-03-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR001489 | MI | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407825 | Kenneth D Logan | Family Medicine | 15151 Little Ron Rd, Chico, CA 95973-9455 | 2005-06-16 |
| 1003013491 | Kenneth Alan Logan | Psychologist | 1891 E Roseville Pkwy, Suite 100, Roseville, CA 95661-7973 | 2007-06-28 |
| Street Address |
24 WALESKA ST SUITE 100 |
| City | CANTON |
| State | GA |
| Zip Code | 30114-2739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043581671 | Preferred Psychological Service, LLC | Counselor | 24 Waleska St, Suite 100, Canton, GA 30114-2739 | 2012-01-12 |
| 1184891780 | William Greg Elwell | Dentist | 24 Waleska St, Canton, GA 30114-2739 | 2008-05-13 |
| 1477720076 | Louis Michael Cox | Dentist | 24 Waleska St, Canton, GA 30114-2739 | 2008-05-13 |
| 1306982921 | John David Peacock | Dentist | 24 Waleska St, Canton, GA 30114-2739 | 2007-01-30 |
| 1124105507 | Greg Elwell, D.m.d., P.C. | Dentist | 24 Waleska St, Canton, GA 30114-2739 | 2006-11-01 |
| 1699713388 | Logan Family Chiropractic PC | Chiropractor | 24 Waleska St, Suite 100, Canton, GA 30114-2739 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190363 | Rebel Medical Group LLC | Chiropractor | 2920 Marietta Hwy Ste 102, Canton, GA 30114-8207 | 2020-10-07 |
| 1881220762 | Gia Noelle Candelieri-marcari | Chiropractor | 8016 Cumming Hwy Ste 304, Canton, GA 30115-9350 | 2020-03-23 |
| 1639700255 | Kalli Ross Chiropractor LLC | Chiropractor | 4612 Tuscarawas St W, Canton, OH 44708-5339 | 2020-02-02 |
| 1154961514 | Michigan Complete Chiropractic & Rehab., Plc | Chiropractor | 5958 N Canton Center Rd Ste 300, Canton, MI 48187-2766 | 2020-01-13 |
| 1659917870 | Kaitlin Franklin | Chiropractor | 29957 State Highway 64 Ste 101, Canton, TX 75103-3413 | 2019-11-22 |
| 1578036307 | Jessie L Potter | Chiropractor | 6231 N Canton Center Rd Ste 109, Canton, MI 48187-2692 | 2019-01-03 |
| 1144792789 | 100 Percent Chiropractic Ribley, LLC | Chiropractor | 9266 Knox Bridge Hwy Ste 200, Canton, GA 30114-4627 | 2018-12-20 |
| 1891265534 | Austin David Jones | Chiropractor | 6199 Hickory Flat Hwy Ste 142, Canton, GA 30115-7255 | 2018-11-26 |
| 1538659131 | Jeffrey Scott Mechtenberg | Chiropractor | 3410 Tuscarawas Street W, Canton, OH 44708 | 2018-05-18 |
| 1134629363 | Thomas Joseph Van Petten | Chiropractor | 4774 Munson St Nw Ste 302, Canton, OH 44718-3634 | 2018-02-14 |
| Find all providers in CANTON | ||||
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| 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.