Logan Family Practice LLC
NPI #1699447169 in Russellville, Kentucky
Provider Information
- NPI Number
- 1699447169
- Entity Type
- Organization
- Organization Name
- Logan Family Practice LLC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Oct 1, 2021
- Last Updated
- Jun 26, 2025
Practice Location
- Address
- 1719 NASHVILLE ST STE C
- City
- Russellville
- State
- Kentucky
- ZIP Code
- 42276-7804
- Phone
- (270) 726-7664
Authorized Official
- Name
- JOHNETTA TRAYLOR
- Title
- AO
- Phone
- (502) 596-6063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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