Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen M Logan, MD

Individual provider Psychiatry Physician · NPI 1699752089

Kathleen M Logan, MD is a Psychiatry Physician in Jackson, Wyoming. Licensed in Minnesota and Wyoming. Registered with an NPI since 2005.

Licensed in
MN, WY
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

555 E Broadway Ave Ste 204
Jackson, WY 83001-8640
Phone: (307) 739-4818
Fax: (888) 329-5701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 11343A (WY)
Psychiatry Physician Taxonomy 2084P0800X · Licence 25358 (MN)

Record details

NPI number1699752089
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 27, 2005
Last updated in NPPESFebruary 10, 2021
Certification dateFebruary 10, 2021
Mailing addressPo Box 428, Jackson, WY 83001-0428

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