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

Logan Memorial Hospital LLC

Organization Emergency Medicine Physician · NPI 1164604732

Logan Memorial Hospital LLC is an Emergency Medicine Physician in Russellville, Kentucky. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
5
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

1625 Nashville St
Russellville, KY 42276-8853
Phone: (270) 726-4011
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Emergency Medicine Physician Taxonomy 207P00000X
Body Imaging Physician Taxonomy 2085B0100X
Diagnostic Neuroimaging (Radiology) Physician Taxonomy 2085D0003X
Diagnostic Radiology Physician Taxonomy 2085R0202X

Record details

NPI number1164604732
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johnetta Traylor — Ao · (502) 596-6063
NPI enumeratedDecember 5, 2007
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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