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Organization
LOGAN FAMILY CARE CENTER LLC
Active
Organization
LOGAN FAMILY CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER ANN KIRK CFNP (SOLE MEMBER)
(304) 687-2669
Entity
Organization
Contact information
Practice address
557 MAIN ST, LOGAN, WV 25601-3809
(304) 752-3435
Mailing address
557 MAIN ST, LOGAN, WV 25601-3809
(304) 752-3435
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/23/2014
Last updated
02/23/2014
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