Individual
JOHN A. LOGAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1305 N ELM ST # 48, HENDERSON, KY 42420-2783
(270) 827-7353
(270) 827-7475
Mailing address
1305 N ELM ST # 48, HENDERSON, KY 42420-2783
(270) 827-7353
(270) 827-7475
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13316
KY
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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