Individual provider · Type 1 NPI

Logan Keith Green

Student in an Organized Health Care Education/Training Program · Lawrence, KS

NPI number 1851297998 Active

Practice location

1740 Massachusetts St
Lawrence, KS 66044-4256

Call (785) 842-2434 Map

Mailing address

127 S 4th St
Fredonia, KS 66736-1809

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X3-120663 (KS)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1851297998

Logan Keith Green's National Provider Identifier is 1851297998, issued on Oct 15, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lawrence, KS. The record was last updated on Oct 15, 2026.