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Organization

LOGAN PEDIATRICS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VARSHA HUMBLE MD (OWNER)
(270) 726-1266
Entity
Organization

Contact information

Practice address
975 HOPKINSVILLE RD, RUSSELLVILLE, KY 42276-9774
(270) 726-1266
(270) 726-1961
Mailing address
975 HOPKINSVILLE RD, RUSSELLVILLE, KY 42276-9774
(270) 726-1266
(270) 726-1961

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39621
KY

Other

Enumeration date
08/31/2006
Last updated
08/22/2020
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