Kiki Logan
Individual provider Active NPI Early Intervention Provider Agency · Ellenboro, NC
NPI 1700327178 · NPPES record last updated Mar 17, 2017
Key facts
- NPI
- 1700327178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- Practice address
- 245 E Park Rd
Ellenboro, NC 28040-7621 - Phone
- (828) 305-3870
- NPI assigned
- Mar 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Yes |
Addresses
Primary practice location
245 E Park Rd
Ellenboro, NC 28040-7621
Mailing address
245 E Park Rd
Ellenboro, NC 28040-7621
Phone (828) 305-3870
Other providers in Ellenboro, NC
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- Gaston Family Health Services, Inc
- Jordan Hawkins
- Joy Etc, Inc
- Joyful Home Family Care
- Stephanie Annette Miller
- Moving Forward Pediatric Services
- New Generations Inc.
- Person 1St LLC
- Albertine Pierre
All providers in Ellenboro, NC · Early Intervention Provider Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.