Organization
LOGAN FAMILY CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER ANN KIRK CFNP (SOLE MEMBER)
(304) 687-2669
Entity
Organization
Contact information
Practice address
557 MAIN ST, LOGAN, WV 25601-3809
(304) 752-3435
Mailing address
557 MAIN ST, LOGAN, WV 25601-3809
(304) 752-3435
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/23/2014
Last updated
02/23/2014
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