KELLIE M LOGUE

ARKANSAS VALLEY REGIONAL MEDICAL CENTER

Dr KELLIE M LOGUE is a female medical professional, specializing in Certified Registered Nurse Anesthetist (crna). She graduated in 2014.

Contact

ARKANSAS VALLEY REGIONAL MEDICAL CENTER

1100 CARSON AVE
LA JUNTA
CO
810502751

Tel: 7193845412

KELLIE M LOGUE Information

Npi 1275940496
Pac Id 1456573443
Professional Enrollment Id I20180501000995
Last Name LOGUE
First Name KELLIE
Middle Name M
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2014
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ARKANSAS VALLEY REGIONAL MEDICAL CENTER
Group Practice Pac Id 9436062833
Number Of Group Practice Members 17
Line 1 Street Address 1100 CARSON AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City LA JUNTA
State CO
Zip Code 810502751
Phone Number 7193845412
Hospital Affiliation Ccn 1 061336
Hospital Affiliation Lbn 1 ARKANSAS VALLEY REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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