Kenneth O Logan, D.C.,P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001489 Issued in GA

Legal business name

KENNETH O LOGAN, D.C.,P.C.

Practice address

2543 Bells Ferry Rd
Suite 500
Marietta, GA 30066-5179

Phone

(770) 428-3671

Fax

(770) 428-2143

NPI assigned

Apr 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth Owen Logan, D.C.

Title

President

Phone

(770) 428-3671

Specialties & licenses 1

Addresses

Other names 1

• Logan Chiropractic Life Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1386862480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2543 BELLS FERRY RD",
            "address_2": "SUITE 500",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300665179",
            "telephone_number": "770-428-3671",
            "fax_number": "770-428-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2543 BELLS FERRY RD",
            "address_2": "SUITE 500",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300665179",
            "telephone_number": "770-428-3671",
            "fax_number": "770-428-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH O LOGAN, D.C.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-428-3671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "001489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Logan Chiropractic Life Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kennestone Medical Inc.
• Kennestone Neurology Associates, P.C.
• Kennestone North Dental Associates
• Kennestone Periodontics of Marietta, PC
• Kenneth C Molkner MD PC
• Patricia Anne Kennington, PH.D.
• Kennstar LLC
• Kent D Vanderslice DC PC
• Patricia Kerigan, LPC
• Susan Elizabeth Kerley, MS, LAPC

• Chiropractor in Marietta, GA
• Providers in Marietta, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.