Kathleen M Logan, MD - Psychiatry & Neurology in Jackson, WY

Kathleen M Logan, MD is a Psychiatry & Neurology - Psychiatry physician based in Jackson, Wyoming. Kathleen M Logan is licensed to practice in Wyoming (license number 11343A) and her current practice location is 555 E Broadway Ave Ste 204, Jackson, Wyoming. She can be reached at her office (for appointments etc.) via phone at (307) 739-4818.

NPI number for Kathleen M Logan is 1699752089 and her current mailing address is Po Box 428, Jackson, Wyoming. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699752089.

Contact Information

Kathleen M Logan, MD
555 E Broadway Ave Ste 204,
Jackson, WY 83001-8640
(307) 739-4818
(888) 329-5701



Physician's Profile

Full NameKathleen M Logan
GenderFemale
SpecialityPsychiatry & Neurology - Psychiatry
Location555 E Broadway Ave Ste 204, Jackson, Wyoming
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1699752089
  • Provider Enumeration Date: 12/27/2005
  • Last Update Date: 02/10/2021

Medical Identifiers

Medical identifiers for Kathleen M Logan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699752089NPI-NPPES
150491600MedicaidWY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 25358 (Minnesota)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 11343A (Wyoming)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen M Logan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathleen M Logan, MD
Po Box 428,
Jackson, WY 83001-0428

Ph: (307) 739-4818
Kathleen M Logan, MD
555 E Broadway Ave Ste 204,
Jackson, WY 83001-8640

Ph: (307) 739-4818

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› Verified 4 days ago


Psychiatry & Neurology Doctors in Jackson, WY

Dr. Catherine Haynes Wuthrich, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 2092 Lilac Lane, Jackson, WY 83002
Phone: 651-894-4008    
Christopher Andrew Ramsey, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 680 S Cache St Ste 100, Jackson, WY 83001
Phone: 212-518-6718    
Dr. Nils Charles Westfall, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 555 E Broadway Ave Ste 204, Jackson, WY 83001
Phone: 307-739-4818    Fax: 307-739-4866

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