Individual provider · Type 1 NPI

Kenneth Leon Logan Iii

Professional Counselor · Louisville, KY

NPI number 1760073779 Active

Practice location

10401 Linn Station Rd Ste 100
Louisville, KY 40223-3842

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X268053 (KY)

Professional Counselor: Definition to come...

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About NPI 1760073779

Kenneth Leon Logan Iii's National Provider Identifier is 1760073779, issued on Feb 2, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Louisville, KY. The record was last updated on Feb 10, 2021.