Kelsey Jean Logan, CRNA
Nurse Anesthetist, Certified Registered in Clearwater, FL. Individual provider (NPI-1).
NPI number1336690809
StatusActive
Last updated in NPPESFeb 14, 2024
Details
- NPI
- 1336690809
- Entity type
- Individual (NPI-1)
- Name
- Kelsey Jean Logan
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 20, 2016
- Certification date
- Feb 14, 2024
- Last updated
- Feb 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN9336293 | FL | Yes |
Practice location
1901 Ulmerton RdSuite 450
Clearwater, FL 33762-2300
Phone 727-210-8191
Mailing address
2995 Drew StClearwater, FL 33759-3012
Phone 727-315-7496
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