Individual provider · Type 1 NPI

Kelley Renee Logan, FNP-BC

Family Nurse Practitioner · Carthage, TN

NPI number 1730502733 Active

About NPI 1730502733

Kelley Renee Logan, FNP-BC's National Provider Identifier is 1730502733, issued on Jan 27, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Carthage, TN. The record was last updated on May 28, 2025.