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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

KENYETTA LOGAN
NPI 1518889138
Case Manager/Care Coordinator in Broken Arrow, OK

Active since July 27, 2026
2548 E KENOSHA ST, BROKEN ARROW, OK 74014(918) 355-0993 Get Directions Write a Review

NPPES record added: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenyetta Logan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENYETTA LOGAN (NPI 1518889138) is an individual case manager/care coordinator provider in Broken Arrow, Oklahoma and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1518889138
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameKENYETTA LOGAN
Location Address2548 E KENOSHA STBroken Arrow, OK 74014-6712
Mailing Address2548 E Kenosha StBroken Arrow, OK 74014-6712
Phone(918) 355-0993
Sole ProprietorNo
Enumeration DateJuly 27, 2026
NPPES CertifiedJuly 27, 2026
✔ NPI 1518889138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
2548 E KENOSHA ST, Broken Arrow, OK 74014
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GABRIELLA VELIZ
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
MRS. HADEACHA A SMITH
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
WADE BAILEY POTTER
Counselor
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
MR. CHAD SHINER MCDANIEL
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 382-7300
STHEMBISO MITCHELLE MASEKO
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
REBEKAH FAITH-MARIE WEBSTER
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0995
CHERLINE CARMEN NELSON
Clinic/Center (Mental Health (Including Community Mental Health Center))
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993
BETHANY LEIGH NOBLE
Case Manager/Care Coordinator
2548 E KENOSHA ST
BROKEN ARROW, OK 74014
Wagoner County (918) 355-0993

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenyetta Logan's NPI number?

The NPI number for Kenyetta Logan is 1518889138. It was assigned to this individual provider in the NPPES registry on July 27, 2026.

Where is Kenyetta Logan located?

Kenyetta Logan practices at 2548 E Kenosha St, Broken Arrow, OK 74014. The listed phone number is (918) 355-0993.

What is Kenyetta Logan's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Kenyetta Logan was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.