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

Kelly J. Logan, DO

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1376592139

Kelly J. Logan, DO is a Physical Medicine and Rehabilitation in Kansas City, Missouri. Qualified in 2004, 22 years ago. Practices with Advanced Rehabilitation Care, LLC, a 20-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas, Missouri and Wisconsin.

Years since qualifying
22
Licensed in
KS, MO, WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

601 E 63rd St Ste 210
Kansas City, MO 64110-3303
Phone: (816) 569-5475
Fax: (816) 569-5482
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2801 Purcell St, Brighton, CO 80601-3551 — (515) 778-3126

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 2010035953 (MO)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 0533193 (KS)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 48544 (WI)

Record details

NPI number1376592139
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 9, 2006
Last updated in NPPESApril 20, 2021
Certification dateApril 20, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Also practisesOSTEOPATHIC MANIPULATIVE MEDICINE, PAIN MANAGEMENT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Advanced Rehabilitation Care, Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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