MEDICARE: DR. KENNETH D LOGAN MD

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
1	207Q00000X	Family Medicine Physician	G50800	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962407825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNETH D LOGAN MD

Provider Business Mailing Address
First Line	:	236 W EAST AVE
Second Line	:	PMB 252
City	:	CHICO
State	:	CA
Zip	:	95926-7235
Country	:	US
Telephone Number	:	530-571-2034
Fax Number	:	530-896-4893

Provider Business Practice Location Address
First Line	:	15151 LITTLE RON RD
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95973-9455
Country	:	US
Telephone Number	:	530-571-2034
Fax Number	:	530-896-4893

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	02/03/2010

Similar Medicare Providers

1790951861 — MS. LAURIE ANN STOLLBERG LVN
Practice Location Address:

15162 LITTLE RON RD
CHICO, CA
95973-9455

Practice Phone: 530-514-3152
Practice Fax:

1639029713 — MICHELE KANANI THORPE ACSW
Practice Location Address:

1359 E LASSEN AVE UNIT B
CHICO, CA
95973-7824

Practice Phone: 530-230-9230
Practice Fax:

1447253943 — HOME HEALTH CARE MANAGEMENT, INC.
Practice Location Address:

1398 RIDGEWOOD DR
CHICO, CA
95973-7801

Practice Phone: 530-343-0727
Practice Fax: 530-895-1703

1477555613 — DR. MARK LARSEN BRADFORD D.D.S.
Practice Location Address:

2545 CEANOTHUS AVE , STE 138
CHICO, CA
95973-7611

Practice Phone: 530-342-7974
Practice Fax:

1679578538 — DR. THOMAS E MCKNIGHT JR. D.O. MPH
Practice Location Address:

130 INDEPENDENCE CIR , SUITE 5
CHICO, CA
95973-4962

Practice Phone: 530-896-0260
Practice Fax: 530-896-0287

1700881448 — DR. VIMALI PAUL M.D.
Practice Location Address:

85 DECLARATION DR , STE 110
CHICO, CA
95973-4902

Practice Phone: 530-894-6600
Practice Fax: 530-894-1321

Directions to “ DR. KENNETH D LOGAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.