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

Logan Physician Practice LLC

Organization Family Medicine Physician · NPI 1013408053

Logan Physician Practice LLC is a Family Medicine Physician in Russellville, Kentucky. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
6
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

975 Hopkinsville Rd
Russellville, KY 42276-9774
Phone: (270) 726-2738
Fax: (270) 726-9508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Pediatrics Physician Taxonomy 208000000X
Rural Health Clinic/Center Taxonomy 261QR1300X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1013408053
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Teague — Vp, Corporate Secretary · (629) 253-5121
Other names Logan Primary Care - Russellville; Logan Primary Care - Russellville
NPI enumeratedMay 25, 2018
Last updated in NPPESApril 13, 2023
Certification dateApril 13, 2023
Mailing address113 Seaboard Ln Ste 201b, Franklin, TN 37067-8284

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