Logan, Kendrick Wayne

Logan, Kendrick Wayne is an individual health care provider with primary practice located at 1330 E Cooley Dr , Colton CA 92324-3905. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is his primary health care specialty. Logan, Kendrick Wayne can be contacted via phone (909) 580-3734.

Contact Information

Primary practice address
1330 E Cooley Dr Colton CA 92324-3905
Phone: (909) 580-3734
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1053190975
LBN Legal business name Logan, Kendrick Wayne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2023
Last updated May 12th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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