Individual provider · NPI-1

Dr. Katherine Elizabeth Logan, MD

Family Medicine · Essex Junction, VT

NPI number1750905006
StatusActive
Last updated in NPPESAug 19, 2025

Details

NPI
1750905006
Entity type
Individual (NPI-1)
Name
Dr. Katherine Elizabeth Logan
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 2, 2020
Certification date
Aug 19, 2025
Last updated
Aug 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine042.0017166VTYes

Practice location

87 Main St
Essex Junction, VT 05452-3234

Phone 802-404-1350

Mailing address

617 Riverside Ave
Burlington, VT 05401-1601

Phone 401-642-8569

Other practice locations

617 Riverside Ave
Burlington, VT 05401-1601

Phone 802-864-6309

789 Pine St
Burlington, VT 05401-4924

Phone 802-864-0693

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