Provider Demographics
NPI:1891505814
Name:KLEPAL, LOGAN (NRP)
Entity type:Individual
Prefix:
First Name:LOGAN
Middle Name:
Last Name:KLEPAL
Suffix:
Gender:M
Credentials:NRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 KATHY LN
Mailing Address - Street 2:
Mailing Address - City:EXPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15632-2657
Mailing Address - Country:US
Mailing Address - Phone:706-550-4351
Mailing Address - Fax:
Practice Address - Street 1:618 KATHY LN
Practice Address - Street 2:
Practice Address - City:EXPORT
Practice Address - State:PA
Practice Address - Zip Code:15632-2657
Practice Address - Country:US
Practice Address - Phone:706-550-4351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic