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

Kendrick Wayne Logan

Individual provider Case Manager/Care Coordinator · NPI 1053190975

Kendrick Wayne Logan is a Case Manager/Care Coordinator in Colton, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

1330 E Cooley Dr
Colton, CA 92324-3905
Phone: (909) 580-3734
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1053190975
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 28, 2023
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing address1330 E Cooley Dr, Colton, CA 92324-3905

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