Individual
LOGAN ANTHONY GRECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(877) 783-6257
(859) 514-5521
Mailing address
P O BOX 910530, LEXINGTON, KY 40536-0200
(877) 783-6257
(859) 514-5521
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3750
KY
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
08/06/2026
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