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Individual

RITA A. LOGSDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1895 ELIZABETHTOWN RD, LEITCHFIELD, KY 42754-9138
(270) 230-0182
(270) 230-0014
Mailing address
908 WALLACE AVE, LEITCHFIELD, KY 42754-1479
(270) 230-0182
(270) 230-1420

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009663
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100372850
KY
Enumeration date
09/18/2015
Last updated
12/17/2015
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