Logan Physician Practice LLC
NPI #1649203043 in Russellville, Kentucky
Provider Information
- NPI Number
- 1649203043
- Entity Type
- Organization
- Organization Name
- Logan Physician Practice LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 9, 2006
- Last Updated
- Apr 13, 2023
Practice Location
- Address
- 975 HOPKINSVILLE RD
- City
- Russellville
- State
- Kentucky
- ZIP Code
- 42276-9792
- Phone
- (270) 726-2738
Authorized Official
- Name
- KATHY TEAGUE
- Title
- VP, CORPORATE SECRETARY
- Phone
- (629) 253-5121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Internal Medicine - Pulmonary Disease — Pulmonary Disease |
| Orthopaedic Surgery |
| Pediatrics |
| Surgery |
| Physician Assistant |
| Nurse Practitioner |
| Nurse Practitioner - Family — Family |
| Family Medicine |
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