Individual
PENNY CAROL LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
901 N CROSS ST, ALBANY, KY 42602-1617
(606) 934-0684
(606) 777-7560
Mailing address
PO BOX 227, ALBANY, KY 42602-0227
(606) 306-7706
(606) 777-7560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5684P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000582138
ANTHEM
KY
05
—
7100061960
—
KY
Enumeration date
08/20/2008
Last updated
12/16/2025
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