LOGAN FAMILY PRACTICE LLC

RUSSELLVILLE, KY
NPI1699447169
Entity TypeOrganization
Authorized ContactJOHNETTA TRAYLOR
AO
502-596-6063
Organization Subpart ?No
Primary Taxonomy261QR1300X Clinic/Center, Rural Health
Enumeration Date2021-10-01
Last Update Date2025-06-26
Business Address
LOGAN FAMILY PRACTICE LLC
1719 NASHVILLE ST STE C
RUSSELLVILLE, KY 42276-7804
Phone number: 270-726-7664
Mailing Address
LOGAN FAMILY PRACTICE LLC
680 S 4TH ST
LOUISVILLE, KY 40202-2407
Phone number: 502-596-6063
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