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 1649203043

Logan Physician Practice LLC is a Family Medicine Physician in Russellville, Kentucky. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
9
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 42276-9792
Phone: (270) 726-2738
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Pulmonary Disease Physician Taxonomy 207RP1001X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Pediatrics Physician Taxonomy 208000000X
Surgery Physician Taxonomy 208600000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1649203043
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Teague — Vp, Corporate Secretary · (629) 253-5121
NPI enumeratedJuly 9, 2006
Last updated in NPPESApril 13, 2023
Certification dateApril 13, 2023
Mailing address113 Seaboard Ln Ste 201b, Franklin, TN 37067-8284

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