Organization
LOGAN MEMORIAL HOSPITAL
Active
Other names
Logan Care for Women
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTA TRAYLOR (AO)
(502) 596-6063
Entity
Organization
Contact information
Practice address
1623 NASHVILLE ST, SUITE 105, RUSSELLVILLE, KY 42276-8889
(615) 372-8500
Mailing address
680 S 4TH ST # KH-3, LOUISVILLE, KY 40202-2407
(502) 596-6063
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
07/08/2006
Last updated
06/24/2025
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