IndividualActive
Kathleen Logan, M.D.
NPI 1699752089 · Psychiatry Physician · Jackson, WY
Provider details
- NPI number
- 1699752089
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 25358 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
555 E Broadway Ave Ste 204
Jackson, WY 83001-8640
Phone: (307) 739-4818
Fax: (888) 329-5701
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 428
Jackson, WY 83001-0428
Registry dates
- Enumerated
- 2005-12-27
- Last updated
- 2021-02-10
- Certified
- 2021-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.