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

Main Street Family Practice, Inc

Organization Family Medicine Physician · NPI 1073542809

Main Street Family Practice, Inc is a Family Medicine Physician in Logan, West Virginia. Licensed in West Virginia. Registered with an NPI since 2006.

Licensed in
WV
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

533 Main St
Logan, WV 25601-3809
Phone: (304) 752-3400
Fax: (304) 752-8138
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 016632 (WV)

Record details

NPI number1073542809
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Sells — President · (304) 752-3400
NPI enumeratedJuly 2, 2006
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026
Mailing address533 Main St, Logan, WV 25601-3809

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