Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Logan Family Practice LLC

Organization Family Medicine Physician · NPI 1285207241

Logan Family Practice LLC is a Family Medicine Physician in Russellville, Kentucky. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1719 Nashville St
Russellville, KY 42276-7804
Phone: (270) 726-7664
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Physician Assistant Taxonomy 363A00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1285207241
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johnetta Traylor — Ao · (502) 596-6063
NPI enumeratedJuly 19, 2021
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025
Mailing address680 S 4th St, Louisville, KY 40202-2407

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