Logan Physician Practice LLC

NPI #1891031191 in Auburn, Kentucky

Provider Information

NPI Number
1891031191
Entity Type
Organization
Organization Name
Logan Physician Practice LLC
Subpart
Yes (part of a larger organization)
Parent Organization
LOGAN PHYSICIAN PRACTICE LLC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Dec 14, 2012
Last Updated
Nov 28, 2023

Practice Location

Address
128 SUGAR MAPLE DR
City
Auburn
ZIP Code
42206-5352
Phone
(270) 344-5157

Authorized Official

Name
KATHY J TEAGUE
Title
VP AND CORPORATE SECRETARY
Phone
(629) 253-5121

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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