Logan John Shetlar

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558821843

Logan John Shetlar is a Family Practice in Lyons, Kansas. Graduated from University of Washington School of Medicine in 2022, 4 years ago. Practices with Hospital District No 1 of Rice Co, a 14-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying: 4
Trained at: University of Washington School of Medicine
Licensed in: KS
In the registry since: 2019
Specialties on file: 2

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Lyons, KS

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

619 S Clark Ave, Lyons, KS 67554-3003 — (620) 257-5173

Specialties & licences

Family Medicine Physician (primary)	Taxonomy 207Q00000X · Licence 04-46362 (KS)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1558821843
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	No
NPI enumerated	March 22, 2019
Last updated in NPPES	August 5, 2022
Certification date	August 5, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	FAMILY PRACTICE
Medical school	UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated	2022 (4 years in practice)
Group practice	Hospital District No 1 Of Rice Co — 14 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount