Logan Pediatrics, Pllc
NPI #1497867089 in Russellville, Kentucky
Provider Information
- NPI Number
- 1497867089
- Entity Type
- Organization
- Organization Name
- Logan Pediatrics, Pllc
- Primary Specialty
- Pediatrics
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 975 HOPKINSVILLE RD
- City
- Russellville
- State
- Kentucky
- ZIP Code
- 42276-9774
- Phone
- (270) 726-1266
Authorized Official
- Name
- VARSHA HUMBLE, MD
- Title
- OWNER
- Phone
- (270) 726-1266
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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