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Contact Information

LOGAN S KEDING
1227 E RUSHOLME ST
DAVENPORT, IA52803-2459
 Phone: 563-421-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for LOGAN S KEDING · (Male)

NPI # 1053255216
Status Active
Credentials
Entity Individual
Enumeration date 04/17/2026
Last updated 04/17/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • IA License # 182274
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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