Kenneth O Logan (NPI# 1467406827, PAC ID# 6406859263) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1467406827 |
| PAC ID by PECOS | 6406859263 |
| Professional Enrollment ID | I20060816000352 |
| Full Name | Kenneth O Logan |
| Address |
3920 Canton Rd Suite 190 Marietta GA 30066-2849 |
| Gender | M |
| Credential | DC |
| Graduation Year | 1979 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 3920 Canton Rd, Suite 190, Marietta, GA 30066-2849 | ||
| 4001 Canton Rd, Suite 6, Marietta, GA 30066-2998 |
| Street Address |
3920 CANTON RD SUITE 190 |
| City | MARIETTA |
| State | GA |
| Zip | 30066-2849 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffany Danielle Starnes | Chiropractic | 2323 Shallowford Rd, Suite 105c, Marietta, GA 30066-2000 | |
| David A Radin | Chiropractic | 2300 Shallowford Rd, Suite 8, Marietta, GA 30066-2075 | |
| August Vance | Chiropractic | Vance Chiropractic PC | 2300 Shallowford Rd, Marietta, GA 30066-2075 |
| Andrew H Krantz | Chiropractic | 3722 Canton Rd, Marietta, GA 30066-2621 | |
| Joseph V Haezebrouck | Chiropractic | 3417 Canton Rd, Suite 301, Marietta, GA 30066-2896 | |
| Catherine M Meredith | Family Medicine | Wellstar Medical Group, LLC | 3600 Sandy Plains Rd, Marietta, GA 30066-3020 |
| Yuliyan Vesselinov Donchev | Family Medicine | Wellstar Medical Group, LLC | 3600 Sandy Plains Rd, Marietta, GA 30066-3020 |
| Freeman M Montaque | Family Medicine | Wellstar Medical Group, LLC | 3600 Sandy Plains Rd, Marietta, GA 30066-3020 |
| Warren J Falo | Family Medicine | Wellstar Medical Group, LLC | 3600 Sandy Plains Rd, Marietta, GA 30066-3020 |
| Denise Lowman-kedzierski | Nurse Practitioner | Piedmont Professional Services, LLC | 2988 Shallowford Rd, Marietta, GA 30066-3033 |
| Find all physicians in zip 30066 | |||
| City | MARIETTA |
| Zip Code | 30066 |
| Specialty | CHIROPRACTIC |
| City + Specialty | MARIETTA + CHIROPRACTIC |
Please comment or provide details below to improve the information on Kenneth O Logan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.