Logan Physician Practice, LLC

NPI #1265740765 in Auburn, Kentucky

Provider Information

NPI Number
1265740765
Entity Type
Organization
Organization Name
Logan Physician Practice, LLC
Primary Specialty
Nurse Practitioner
Enumeration Date
Sep 17, 2010
Last Updated
Jul 3, 2024

Practice Location

Address
128 SUGAR MAPLE DRIVE
City
Auburn
ZIP Code
42206
Phone
(615) 957-0847

Authorized Official

Name
KATHY J TEAGUE
Title
VICE PRESIDENT AND CORP SECRETARY
Phone
(629) 253-5121

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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