Logan Keith Green

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

3-120663 Issued in KS

Practice address

1740 Massachusetts St
Lawrence, KS 66044-4256

Phone

(785) 842-2434

NPI assigned

Oct 15, 2026

Last updated

Oct 15, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1851297998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S 4TH ST",
            "city": "FREDONIA",
            "state": "KS",
            "postal_code": "667361809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 MASSACHUSETTS ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660444256",
            "telephone_number": "785-842-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LOGAN",
        "middle_name": "KEITH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KS",
            "license": "3-120663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Graves, LPC
• John Gravino, DO
• Jay Paul Gray, PA-C
• Garrett Greaves, DPT, CSCS
• Krysta Green, AUD
• Sharon M Green, OD
• Katherine Greenleaf, M.A., CCC-SLP
• Jennifer Diann Greever, LSCSW
• Jeremie Gregory, FNP
• Shawn Aiden Gregory

• Student in an Organized Health Care Education/Training Program in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Student in an Organized Health Care Education/Training Program in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.