Organization
LOGAN PHYSICIAN PRACTICE LLC
Active
Other names
Logan Primary Care - Elkton
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY J TEAGUE (VICE PRESIDENT AND CORP SECRETARY)
(629) 253-5121
Entity
Organization
Contact information
Practice address
118 S MAIN ST, ELKTON, KY 42220-8863
(270) 265-5023
(270) 265-5026
Mailing address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
(502) 596-7300
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
07/03/2024
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