Individual
DR. LOGAN FULLER-BRITTAIN ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
529 S JACKSON ST FL 4, LOUISVILLE, KY 40202-3229
(502) 852-9566
Mailing address
529 S JACKSON ST FL 4, LOUISVILLE, KY 40202-3229
(502) 852-9566
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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