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Kelsey Logan, MD

Pediatrics, Sports Medicine in Cincinnati, OH. Individual provider (NPI-1).

NPI number1497723076
StatusActive
Last updated in NPPESMar 17, 2018

Details

NPI
1497723076
Entity type
Individual (NPI-1)
Name
Kelsey Logan
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Mar 9, 2006
Last updated
Mar 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080S0010X Pediatrics, Sports Medicine35.093069OHYes
208000000X Pediatrics35.093069OH

Practice location

3333 Burnet Ave
Ml 10001
Cincinnati, OH 45229-3026

Phone 513-636-4366 · Fax 513-636-0516

Mailing address

3333 Burnet Ave
Ml 10001
Cincinnati, OH 45229-3026

Phone 513-636-4366 · Fax 513-636-0516

Other practice locations

3130 Highland Ave
Cincinnati, OH 45219-2399

Phone 513-584-7425

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