Organization
PATRICK K HAYDEN LOGAN FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK KEVIN HAYDEN M.D. (OWNER)
(270) 726-7664
Entity
Organization
Contact information
Practice address
1719 NASHVILLE ST, SUITE C, RUSSELLVILLE, KY 42276-8855
(270) 726-7664
(270) 726-9997
Mailing address
1719 NASHVILLE ST, SUITE C, RUSSELLVILLE, KY 42276-8855
(270) 726-7664
(270) 726-9997
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65929481
—
KY
Enumeration date
08/31/2006
Last updated
06/19/2008
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