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NPI Code Detail

MEDICARE: LOGAN KEMPNEY RN

MEDICARE:   LOGAN  KEMPNEY  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse1670606CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11670606OTHERCOLICENSE

General Provider Information

NPI Number : 1093663601
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOGAN KEMPNEY RN
Provider Business Mailing Address
First Line : 6483 OLD STATE RD
Second Line :
City : CASTORLAND
State : NY
Zip : 13620-3145
Country : US
Telephone Number : 315-415-2886
Fax Number :
Provider Business Practice Location Address
First Line : 201 STATE ST
Second Line :
City : ERIE
State : PA
Zip : 16550-0002
Country : US
Telephone Number : 814-877-2938
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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Directions to “ LOGAN KEMPNEY RN” Practice Location

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