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

Kenyetta Logan

Individual provider Case Manager/Care Coordinator · NPI 1518889138

Kenyetta Logan is a Case Manager/Care Coordinator in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2026.

Licensed in
OK
In the registry since
2026

Practice location Address checks out

2548 E Kenosha St
Broken Arrow, OK 74014-6712
Phone: (918) 355-0993
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (OK)

Record details

NPI number1518889138
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 27, 2026
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026
Mailing address2548 E Kenosha St, Broken Arrow, OK 74014-6712

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