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

Logan Memorial Hospital

Organization Obstetrics & Gynecology Physician · NPI 1245263631

Logan Memorial Hospital is an Obstetrics & Gynecology Physician in Russellville, Kentucky. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1623 Nashville St Ste 105
Russellville, KY 42276-8889
Phone: (615) 372-8500
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1245263631
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johnetta Traylor — Ao · (502) 596-6063
Other names Logan Care For Women
NPI enumeratedJuly 8, 2006
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025
Mailing address680 S 4th St # Kh-3, Louisville, KY 40202-2407

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